Individual
JUSTINE FAVORITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
165 W NETHERWOOD ST, OREGON, WI 53575-1107
(608) 408-9556
Mailing address
165 W NETHERWOOD ST, OREGON, WI 53575-1107
(608) 835-5050
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
WI
Other
Enumeration date
08/29/2022
Last updated
01/19/2026
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