Individual
MIRANDA TINA MARTHA BABL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
901 N 6TH ST, WAUSAU, WI 54403-4718
(715) 848-5022
Mailing address
609 S 20TH AVE, WAUSAU, WI 54401-5207
(715) 574-9628
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3674-226
WI
Other
Enumeration date
09/25/2017
Last updated
09/25/2017
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