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Search › Wisconsin › Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Tawana Lyons

NPI 1558068874 · on the registry since 2023 · sole proprietor

Practice

Address
2332 Gilson St
Racine, WI 53403
Phone
(262) 800-1032

Registry record

Primary taxonomy
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-02-08

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