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Individual

TIA LYNNE KRUEGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC-IT

Contact information

Practice address
3103 SCENIC DR, OSHKOSH, WI 54904-7647
(920) 267-0661
Mailing address
3103 SCENIC DR, OSHKOSH, WI 54904-7647
(920) 267-0661

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8230226
WI

Other

Enumeration date
01/04/2025
Last updated
01/04/2025
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