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Individual

MS. TINA PFANNERSTILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SAC-IT

Contact information

Practice address
4550 W BRADLEY RD, BROWN DEER, WI 53223-3713
(414) 371-1600
Mailing address
8907 N PARK PLAZA CT, BROWN DEER, WI 53223-2164

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18363-130
WI

Other

Enumeration date
11/16/2017
Last updated
11/16/2017
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