person
Tara B Magaw, MA
Mental Health Counselor in Milwaukee, Wisconsin
NPI 1710011895

Tara B Magaw is a Mental Health Counselor based in Oak Creek, WI and is specialized in Mental Health. Tara B Magaw practices in Milwaukee, WI and has the professional credentials of MA. The NPI Number for Tara B Magaw is 1710011895 and holds a License No. (Wisconsin).

The current practice location address for Tara B Magaw is 6040 W Lisbon Ave, Milwaukee, WI and can be reached out via phone at 414-871-9111 and via fax at 414-871-9121.

Location: 6040 W Lisbon Ave, Milwaukee, WI, 53154-4458
person
Provider Profile Details
NPI Number
1710011895
Provider Name
Tara B Magaw
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
6040 W Lisbon Ave, Milwaukee, WI, 53154-4458
Phone Number
414-871-9111
Fax Number
414-871-9121
Provider Enumeration Date
03/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
437-08-100 05 WI
institution
Provider Business Practice Location Address Details
Address
6040 W Lisbon Ave
City
State
Zip
53210-2116
Phone Number
414-871-9111
Fax Number
414-871-9121
person
Provider Business Mailing Address Details
Address
6040 W Lisbon Ave
City
State
Zip
53210-2116
Phone Number
414-871-9111
Fax Number
414-871-9121
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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