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Individual

MR. DAVID CHARLES LOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
1020 N 12TH ST, MILWAUKEE, WI 53233-1308
(414) 773-4312
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2823125
WI
106H00000X
Marriage & Family Therapist
Primary
1079
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100039845
WI
Enumeration date
08/28/2014
Last updated
11/28/2023
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