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Individual

ANTHONY TICKLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, APSW

Contact information

Practice address
2500 HALL AVE, MARINETTE, WI 54143-1655
(715) 732-7760
(715) 732-7711
Mailing address
2500 HALL AVE, MARINETTE, WI 54143-1655
(715) 732-7760

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
130756-121
WI

Other

Enumeration date
12/04/2017
Last updated
12/04/2017
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