| Doctor Name: | ROBERTA A TESAR |
| NPI Number: | 1205830965 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW |
| License Number: | 7163 |
| Business Practice Address: | 610 E Taylor St Prairie Du Chien, WI - 538212109 |
| Business Phone Number: | 6083262815 |
| Business Fax Number: | |
| Mailing Address: | 1836 South Ave, LA CROSSE |
| State: | WI |
| Postal Code: | 546015429 |
| Phone Number: | 6087827300 |
| Fax Number: | 6087754429 |
| NPI Enumeration Date: | 06/10/2005 |
| NPI Last Update Date: | 12/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 7163 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |