Individual
AUTUMN HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1312 WISCONSIN AVE APT 201, GRAFTON, WI 53024-1978
(920) 627-1533
Mailing address
N50W5050 PORTLAND RD, CEDARBURG, WI 53012-2158
(262) 483-8140
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7982-226
WI
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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