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Mrs. Taneshia Michelle Wilson
Professional Counselor in Sparta, Wisconsin
NPI 1659823839

Taneshia Michelle Wilson is a Professional Counselor based in La Crosse, WI and is specialized in Professional. Taneshia Michelle Wilson practices in Sparta, WI. The NPI Number for Taneshia Michelle Wilson is 1659823839 and holds a License No. 7415 (Wisconsin).

The current practice location address for Taneshia Michelle Wilson is 1111 W Wisconsin St, Sparta, WI and can be reached out via phone at 608-269-1588.

Location: 1111 W Wisconsin St, Sparta, WI, 54601-5429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659823839
Provider Name
Taneshia Michelle Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1111 W Wisconsin St, Sparta, WI, 54601-5429
Phone Number
608-269-1588
Fax Number
Provider Enumeration Date
11/03/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1111 W Wisconsin St
City
Sparta
State
Wisconsin
Zip
54656
Phone Number
608-269-1588
Fax Number
person
Provider Business Mailing Address Details
Address
1111 W Wisconsin St
City
Sparta
State
Wisconsin
Zip
54656
Phone Number
608-269-1588
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
7415 (Wisconsin)
Definition
Definition to come...
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