Individual
REBECCA RUTH OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
717 W MORELAND BLVD, WAUKESHA, WI 53188-2432
(262) 929-4825
Mailing address
707 N GRAND AVE APT 503, WAUKESHA, WI 53186-4884
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1184-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100079788
—
WI
Enumeration date
07/05/2018
Last updated
09/06/2022
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