Individual
PEGGY NOWICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
J.D., M.S.
Contact information
Practice address
10532 N PORT WASHINGTON RD, MEQUON, WI 53092-5563
(262) 242-3810
Mailing address
10532 N PORT WASHINGTON RD, MEQUON, WI 53092-5563
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2009-226
WI
101YP2500X
Professional Counselor
Primary
2009-226
WI
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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