Individual
DESIREE J WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
7280 S 13TH ST STE 103, OAK CREEK, WI 53154-1831
(262) 334-4340
Mailing address
400 W RIVER DR, WEST BEND, WI 53090-1518
(262) 334-4340
(262) 334-4341
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4072-226
WI
Other
Enumeration date
09/11/2018
Last updated
03/27/2020
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