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Individual

DR. SOPHIA REBECCA OLTON WEBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
933 N MAYFAIR RD STE 101, WAUWATOSA, WI 53226-3432
(414) 502-7521
Mailing address
933 N MAYFAIR RD STE 101, WAUWATOSA, WI 53226-3432
(414) 502-7521

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
103T00000X
Psychologist
Primary
3988-57
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3988-57
LICENSE
WI
Enumeration date
02/12/2021
Last updated
06/12/2026
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