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Organization
CREATING BALANCE LLC
Active
Organization
CREATING BALANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN POHLE LPC (PSYCHOTHERAPIST/SOLEPROPRIETOR)
(262) 894-3540
Entity
Organization
Contact information
Practice address
385 WILLIAMSTOWNE, SUITE 105, DELAFIELD, WI 53018-2323
(262) 894-3540
(262) 303-4765
Mailing address
385 WILLIAMSTOWNE, SUITE 105, DELAFIELD, WI 53018-2323
(262) 894-3540
(262) 303-4765
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
3946-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43725200
—
WI
Enumeration date
08/12/2014
Last updated
09/28/2015
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