Individual
TIFFANY MOBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.A.P.S.W.
Contact information
Practice address
1117 WESTERN AVE, EAU CLAIRE, WI 54703-1835
(608) 322-6929
Mailing address
1117 WESTERN AVE, EAU CLAIRE, WI 54703-1835
(608) 322-6929
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
129316-121
WI
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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