Individual
TIFFANY L ST GERMAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 HALL AVE, MARINETTE, WI 54143-1655
(715) 732-7700
Mailing address
2500 HALL AVE, MARINETTE, WI 54143-1655
(715) 732-7700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
132368-121
WI
Other
Enumeration date
11/27/2018
Last updated
08/13/2021
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