Individual
MRS. MITZI JULANN RABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
340 S NASH ST, HORTONVILLE, WI 54944-8220
(414) 460-5728
Mailing address
340 S NASH ST, HORTONVILLE, WI 54944-8220
(414) 460-5728
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3590000358
WI
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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