Individual
MS. TAMMY MARIE THILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1111 REED STREET, PLYMOUTH, WI 53073
(920) 893-5956
(920) 893-4161
Mailing address
1613 N. 13TH STREET, SHEBOYGAN, WI 53081
(920) 912-6442
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6860-120
WI
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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