| Tabletop Recovery Llc | |
|
111 Elm St Spooner WI 54801-1327 | |
| (715) 222-7588 | |
| Not Available |
| Full Name | Tabletop Recovery Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 111 Elm St, Spooner, Wisconsin |
| Authorized Official Name and Position | Kelsey Kidder (DIRECTOR) |
| Authorized Official Contact | 7152227588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tabletop Recovery Llc W3476 Morningside Rd Sarona WI 54870-9274 Ph: (715) 222-7588 | Tabletop Recovery Llc 111 Elm St Spooner WI 54801-1327 Ph: (715) 222-7588 |
| NPI Number | 1417795329 |
|---|---|
| Provider Enumeration Date | 07/16/2024 |
| Last Update Date | 07/19/2024 |
| Certification Date | 07/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417795329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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