Teri Nugent Private Practice, LLC
Social Worker in Stone Lake, WI. Organization (NPI-2).
NPI number1982207023
StatusActive
Last updated in NPPESNov 20, 2020
Details
- NPI
- 1982207023
- Entity type
- Organization (NPI-2)
- Legal business name
- Teri Nugent Private Practice, LLC
- Organization subpart
- No
- Enumeration date
- Nov 20, 2020
- Certification date
- Nov 20, 2020
- Last updated
- Nov 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
Practice location
N6628 Metcalf RdStone Lake, WI 54876-8817
Phone 715-558-5377 · Fax 715-449-5475
Mailing address
Po Box 188Stone Lake, WI 54876-0188
Phone 715-558-5377 · Fax 715-449-5475
Authorized official
Teri L Nugent
Sole Practice/Owner
7155585377
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