Individual
MAEBEL Y TINOKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 55TH ST STE 3, KENOSHA, WI 53140-3611
(414) 301-1169
Mailing address
1111 55TH ST STE 3, KENOSHA, WI 53140-3611
(414) 301-1169
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
132831-121
WI
Other
Enumeration date
05/06/2024
Last updated
02/05/2026
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