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Mara Tibbals
Professional Counselor in West Allis, Wisconsin
NPI 1104600774

Mara Tibbals is a Professional Counselor based in Menomonee Falls, WI and is specialized in Professional. Mara Tibbals practices in West Allis, WI. The NPI Number for Mara Tibbals is 1104600774 and holds a License No. 7480-226 (Wisconsin).

The current practice location address for Mara Tibbals is 10150 W National Ave Ste 390, West Allis, WI and can be reached out via phone at 414-545-4430.

Location: 10150 W National Ave Ste 390, West Allis, WI, 53051-3947
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104600774
Provider Name
Mara Tibbals
Credential
Provider Entity Type
Individual
Gender
Female
Address
10150 W National Ave Ste 390, West Allis, WI, 53051-3947
Phone Number
414-545-4430
Fax Number
Provider Enumeration Date
08/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10150 W National Ave Ste 390
City
West Allis
State
Wisconsin
Zip
53227-2145
Phone Number
414-545-4430
Fax Number
person
Provider Business Mailing Address Details
Address
10150 W National Ave Ste 390
City
West Allis
State
Wisconsin
Zip
53227-2145
Phone Number
414-545-4430
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
7480-226 (Wisconsin)
Definition
Definition to come...
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