Individual
VICTORIA MAHBOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6014 41ST AVE, KENOSHA, WI 53142-7025
(262) 818-3531
Mailing address
6014 41ST AVE, KENOSHA, WI 53142-7025
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.012721
IL
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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