Linda M. Tiso MSW, LCSW, SAC

NPI 1013937341 - Counselor - 101YA0400X

NPI Details
NPI 1013937341
Gender Female
Enumeration Date 07/20/2006
Last Updated 05/26/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
3535 30TH AVE
KENOSHA WI, 53144-1632, US
Phone (262) 842-0500
Fax (262) 842-0502
Business Location
BROOKFIELD WI, 53045-6102, US
Phone (262) 641-9050
Fax (262) 641-9126
Taxonomy Code 101YA0400X
License State Wisconsin
License Number 12605-131
Remove 1013937341 NPI Number

According to our database, Linda M. Tiso MSW, LCSW, SAC NPI is 1013937341, taxonomy code is 101YA0400X and license number is 12605-131, license state is located at Wisconsin. Linda M. Tiso MSW, LCSW, SAC physically located at 3535 30th Ave, Kenosha WI, 53144-1632. NPI Number Linda M. Tiso MSW, LCSW, SAC has the Individual type.

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1013937341 NPI number is provided on an as is basis without warranty of any kind. 1013937341 is maintained by the National Plan & Provider Enumeration System. The contents of Linda M. Tiso MSW, LCSW, SAC are for informational purposes only.