Organization
TERI NUGENT PRIVATE PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERI L NUGENT LCSW (SOLE PRACTICE/OWNER)
(715) 558-5377
Entity
Organization
Contact information
Practice address
N6628 METCALF RD, STONE LAKE, WI 54876-8817
(715) 558-5377
(715) 449-5475
Mailing address
PO BOX 188, STONE LAKE, WI 54876-0188
(715) 558-5377
(715) 449-5475
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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