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Individual

FARRAH SONNENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10450 72ND AVE, PLEASANT PRAIRIE, WI 53158-2911
(262) 657-6453
(262) 671-5013
Mailing address
10450 72ND AVE, PLEASANT PRAIRIE, WI 53158-2911
(262) 657-6453
(262) 671-5013

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100049523
WI
Enumeration date
06/04/2024
Last updated
06/04/2024
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