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Teresa Black
NPI 1417265059 · on the registry since 2010 · sole proprietor
Practice
- Address
- 800 North Sixth Street
Riverdale Elementary School
Muscoda, WI 53573 - Phone
- (608) 739-3101
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-09-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin