Individual
MISS OLIVIA JEAN TOMFOHRDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2004 HIGHLAND AVE, EAU CLAIRE, WI 54701-4400
(715) 835-5915
(715) 835-8112
Mailing address
9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942681846
—
WI
Enumeration date
06/16/2015
Last updated
12/11/2018
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