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Dr. Marica Shava Tipton, PHD
Professional Counselor in Brookfield, Wisconsin
NPI 1467612168

Marica Shava Tipton is a Professional Counselor based in Brookfield, WI and is specialized in Professional. Marica Shava Tipton practices in Brookfield, WI and has the professional credentials of PHD. The NPI Number for Marica Shava Tipton is 1467612168 and holds a License No. 4775-125 (Wisconsin).

The current practice location address for Marica Shava Tipton is 2125 Derrin Ln, Brookfield, WI and can be reached out via phone at 414-297-7745 and via fax at 262-641-9768.

Location: 2125 Derrin Ln, Brookfield, WI, 53045-2151
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Provider Profile Details
NPI Number
1467612168
Provider Name
Marica Shava Tipton
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
2125 Derrin Ln, Brookfield, WI, 53045-2151
Phone Number
414-297-7745
Fax Number
262-641-9768
Provider Enumeration Date
06/16/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
43715200 05 WI
institution
Provider Business Practice Location Address Details
Address
2125 Derrin Ln
City
State
Zip
53045-2151
Phone Number
414-297-7745
Fax Number
262-641-9768
person
Provider Business Mailing Address Details
Address
2125 Derrin Ln
City
State
Zip
53045-2151
Phone Number
414-297-7745
Fax Number
262-641-9768
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
4775-125 (Wisconsin)
Definition
Definition to come...
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