Individual
AUDRA-JANE TWIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11121 W OKLAHOMA AVE, WEST ALLIS, WI 53227-4033
(262) 754-5912
Mailing address
2625 N 70TH ST, WAUWATOSA, WI 53213-1325
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7013
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/07/2020
Last updated
07/29/2025
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