Individual
SIMON RABAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
911 GREEN BAY RD STE 103, STURGEON BAY, WI 54235-3814
(920) 743-5566
Mailing address
323 S 18TH AVE, STURGEON BAY, WI 54235-1401
(920) 746-0510
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPLIED
—
WI
Enumeration date
08/01/2017
Last updated
05/06/2025
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