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Organization

FAITH FACTORY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA ROTH LPC (OWNER)
(262) 706-5868
Entity
Organization

Contact information

Practice address
790 N MILWAUKEE ST STE 312, MILWAUKEE, WI 53202-3724
(262) 706-5868
Mailing address
790 N MILWAUKEE ST STE 312, MILWAUKEE, WI 53202-3724
(262) 706-5868

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
08/25/2022
Last updated
08/25/2022
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