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Individual

TAMILYN D WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, NCC

Contact information

Practice address
NORTHLAKES COMMUNITY CLINIC, 15954 RIVERS EDGE DRIVE, HAYWARD, WI 54843-5484
(715) 634-2541
(715) 934-5090
Mailing address
15954 RIVERS EDGE, 15954 RIVERS EDGE DRIVE, HAYWARD, WI 54843
(715) 634-2541
(715) 934-5090

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4272-125
WI
101YP2500X
Professional Counselor
4727-125
WI

Other

Enumeration date
10/02/2009
Last updated
01/20/2025
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