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Individual

DR. ANNE M. FORS SPAHR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
5303 W NORTH AVE, MILWAUKEE, WI 53208-1021
(414) 445-0997
Mailing address
1587 S MOORLAND RD, #107, NEW BERLIN, WI 53151-1586
(262) 782-0280

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1923
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39117400
WI
05
914666100
MN
Enumeration date
04/06/2007
Last updated
12/29/2008
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