Tiala Shaina Kawela Nicely, BA

NPI #1275283194 in Portage, Wisconsin

Provider Information

NPI Number
1275283194
Entity Type
Individual
Name
Tiala Shaina Kawela Nicely, BA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Credential
BA
Enumeration Date
Mar 24, 2022
Last Updated
Mar 24, 2022

Practice Location

Address
1440 E WISCONSIN ST
ZIP Code
53901-2552
Phone
(608) 745-9720

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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