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Individual

MRS. AISHA BARKOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
1009 W GLEN OAKS LN STE 209, MEQUON, WI 53092-3383
(414) 460-0585
Mailing address
PO BOX 241272, MILWAUKEE, WI 53224-9030
(414) 460-0585

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4988-125
WI
101YP2500X
Professional Counselor
4988-125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100022144
WI
Enumeration date
06/08/2010
Last updated
12/28/2021
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