Individual
MR. FRANK AUSTIN BACCHUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M DIV
Contact information
Practice address
2925 S AMOR DR, NEW BERLIN, WI 53146-2309
(262) 521-3000
(262) 521-3371
Mailing address
2925 S AMOR DR, NEW BERLIN, WI 53146-2309
(262) 521-3000
(262) 521-3371
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
225124
WI
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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