Individual
TAMMY J. KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
115 S MAIN ST, JEFFERSON, WI 53549-1631
(920) 728-1125
Mailing address
125 E WOOLCOCK ST, JEFFERSON, WI 53549-1234
(920) 728-1125
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6752-123
WI
Other
Enumeration date
04/15/2014
Last updated
10/16/2017
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