Individual
TABITHA NICOLE LISOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1020 N 12TH ST STE 200, MILWAUKEE, WI 53233-1308
(414) 219-5219
Mailing address
1020 N 12TH ST STE 200, MILWAUKEE, WI 53233-1308
(414) 219-5219
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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