Individual
ANGELA NOVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
200 S EXECUTIVE DR STE 101, BROOKFIELD, WI 53005-4216
(262) 737-4552
Mailing address
1251 BLAINE AVE, RACINE, WI 53405-2912
(262) 914-1799
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
641-228
WI
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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