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Individual

HARSHITA DESAI-WALTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1215 GEORGE TOWNE DR, PEWAUKEE, WI 53072-2731
(414) 266-3339
(262) 691-4287
Mailing address
200 DAIRY AVE, WAUKESHA, WI 53188-2680
(262) 312-8509

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7983
WI
101YP2500X
Professional Counselor
8983125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1740943695
WI
Enumeration date
10/18/2021
Last updated
10/01/2024
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