Individual
INEZ TRANTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
902 RIVERSIDE DR, WAUPACA, WI 54981-1992
(715) 256-1475
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(715) 256-1475
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
4158-123
WI
101YM0800X
Mental Health Counselor
Primary
868
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3919440
—
WI
Enumeration date
12/13/2006
Last updated
08/31/2023
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