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Individual

MS. CLAUDIA MUIR BAVLNKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
449 HITCHCOCK ST, BARABOO, WI 53913-2876
(608) 355-4103
(608) 355-4106
Mailing address
424 10TH ST, BARABOO, WI 53913-1762
(608) 355-4103
(608) 355-4106

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3792-125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43708500
WI
Enumeration date
05/17/2007
Last updated
07/21/2009
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