Individual
AMY KUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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