Organization
J R THERING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN LIBERSKI (CONTRACTOR AND CREDENTIALOR)
(414) 426-8910
Entity
Organization
Contact information
Practice address
1245 CHEYENNE AVE STE 104, GRAFTON, WI 53024-9323
(262) 618-2832
(262) 293-9777
Mailing address
1245 CHEYENNE AVE STE 104, GRAFTON, WI 53024-9323
(262) 618-2832
(262) 293-9777
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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