Individual
ABIGAIL HOMUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
726 N EAST AVE, WAUKESHA, WI 53186-4807
(262) 544-9622
Mailing address
1902 N COMMERCE ST APT 406, MILWAUKEE, WI 53212-3489
(847) 849-9374
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4426-226
WI
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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