Individual
PENNY AUGUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
325 E WHITEFISH RD, PORT WASHINGTON, WI 53074-1338
(262) 268-0208
Mailing address
325 E WHITEFISH RD, PORT WASHINGTON, WI 53074-1338
(262) 268-0208
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2682-125
WI
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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