Carly R Tebo
Social Worker Clinical Social Worker
7818 Moline Rd
Webster
, Wisconsin 54893-8545
Carly R Tebo
Social Worker Clinical Social Worker
7818 Moline Rd
Webster
, Wisconsin 54893-8545
(888) 625-8634
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About
Features
Specialties
- Social Worker
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Carly R Tebo
- Po Box 309
- Siren, WI
- Zip : 54872-0309
- Fax : (888) 625-8634
- Phone : (715) 349-7069
Second Address
- Carly R Tebo
- 7818 Moline Rd
- Webster, WI
- Zip : 54893-8545
- Fax : (715) 866-8374
- Phone : (715) 866-8301
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What type of doctor is Carly R Tebo
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Is Carly R Tebo a sole practitioner?
Is Carly R Tebo accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 104100000X | Social Worker | 131124-121 | WI |
| Y | 1041C0700X | Clinical Social Worker | 9566 | WI |
National Provider Identifier
| NPI | 1003396631 |
|---|---|
| Provider Name | Carly R Tebo |
| First Address | Siren, WI 54872-0309 |
| Second Address | Webster, WI 54893-8545 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/08/2018 |
| Last Update Date | 11/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.