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Dr. Michael Allen Boticki, PHD
Professional Counselor in Racine, Wisconsin
NPI 1255340642

Michael Allen Boticki is a Professional Counselor based in Racine, WI and is specialized in Professional. Michael Allen Boticki practices in Racine, WI and has the professional credentials of PHD. The NPI Number for Michael Allen Boticki is 1255340642 and holds a License No. 40910900 (Wisconsin).

The current practice location address for Michael Allen Boticki is 1220 Mound Ave Ste 301, Racine, WI and can be reached out via phone at 262-633-3591.

Location: 1220 Mound Ave Ste 301, Racine, WI, 53406-3304
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Provider Profile Details
NPI Number
1255340642
Provider Name
Michael Allen Boticki
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
1220 Mound Ave Ste 301, Racine, WI, 53406-3304
Phone Number
262-633-3591
Fax Number
Provider Enumeration Date
08/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
40910900 05 WI
institution
Provider Business Practice Location Address Details
Address
1220 Mound Ave Ste 301
City
State
Zip
53404-3350
Phone Number
262-633-3591
Fax Number
person
Provider Business Mailing Address Details
Address
1220 Mound Ave Ste 301
City
State
Zip
53404-3350
Phone Number
262-633-3591
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
40910900 (Wisconsin)
Definition
Definition to come...
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