Individual
MRS. TAMARA MARIE MAKHLOUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9000 W WISCONSIN AVE STE 240, MILWAUKEE, WI 53226-4874
(414) 337-3400
(414) 337-3409
Mailing address
9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 53226-4874
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3333125
WI
104100000X
Social Worker
Primary
3333-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154356095
—
WI
Enumeration date
07/11/2006
Last updated
12/14/2021
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