Individual provider · Type 1 NPI

Tara B. Magaw, MA

Mental Health Counselor · Milwaukee, WI

NPI number 1710011895 Active

Practice location

6040 W Lisbon Ave, Suite 102
Milwaukee, WI 53210-2116

Fax (414) 871-9121

Mailing address

130 W Oak Leaf Dr, # 18
Oak Creek, WI 53154-4458

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1710011895

Tara B. Magaw, MA's National Provider Identifier is 1710011895, issued on Mar 14, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 8, 2007.