MS. Tara K Einsweiler-Mickelson
NPI #1477941086 in East Dubuque, Illinois
Provider Information
- NPI Number
- 1477941086
- Entity Type
- Individual
- Name
- MS. Tara K Einsweiler-Mickelson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Developmental Therapist
- Enumeration Date
- Jan 5, 2015
- Last Updated
- Jan 5, 2015
Practice Location
- Address
- 7289 HICKORY CT
- City
- East Dubuque
- State
- Illinois
- ZIP Code
- 61025-9595
- Phone
- (815) 747-2646
Specialties & Taxonomy Codes
| Specialty |
|---|
| Developmental Therapist |
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