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Individual

PAIGE BARGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
W62N248 WASHINGTON AVE STE 207, CEDARBURG, WI 53012-2765
(262) 375-1116
Mailing address
W62N248 WASHINGTON AVE STE 207, CEDARBURG, WI 53012-2765
(262) 375-1116

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5368
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
B6266658855306
DRIVERS LICENSE
WI
Enumeration date
09/23/2022
Last updated
09/23/2022
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