person
Sephora Abigail Wawa Egbuche
Professional Counselor in Glendale, Wisconsin
NPI 1578313433

Sephora Abigail Wawa Egbuche is a Professional Counselor based in Glendale, WI and is specialized in Professional. Sephora Abigail Wawa Egbuche practices in Glendale, WI. The NPI Number for Sephora Abigail Wawa Egbuche is 1578313433 and holds a License No. 7302 (Wisconsin).

The current practice location address for Sephora Abigail Wawa Egbuche is 6025 N Green Bay Ave Uppr Level, Glendale, WI and can be reached out via phone at 414-247-0801 and via fax at 414-247-0816.

Location: 6025 N Green Bay Ave Uppr Level, Glendale, WI, 53209-3811
person
Provider Profile Details
NPI Number
1578313433
Provider Name
Sephora Abigail Wawa Egbuche
Credential
Provider Entity Type
Individual
Gender
Female
Address
6025 N Green Bay Ave Uppr Level, Glendale, WI, 53209-3811
Phone Number
414-247-0801
Fax Number
414-247-0816
Provider Enumeration Date
03/25/2024
Last Update Date
04/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7302 01 WI LICENSE
institution
Provider Business Practice Location Address Details
Address
6025 N Green Bay Ave Uppr Level
City
State
Zip
53209-3811
Phone Number
414-247-0801
Fax Number
414-247-0816
person
Provider Business Mailing Address Details
Address
6025 N Green Bay Ave Uppr Level
City
State
Zip
53209-3811
Phone Number
414-247-0801
Fax Number
414-247-0816
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
7302 (Wisconsin)
Definition
Definition to come...
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