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Individual

MRS. TARA ELIZABETH ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
212 11TH ST S, LA CROSSE, WI 54601-4397
(608) 392-9555
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(608) 785-0940

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
23328
IL
1041C0700X
Clinical Social Worker
149.012808
IL
1041C0700X
Clinical Social Worker
Primary
8160-123
WI

Other

Enumeration date
10/25/2011
Last updated
05/22/2019
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