Individual
BAKIR T ABUSHHIWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 WARREN ST STE 2, BEAVER DAM, WI 53916-3084
(920) 216-4440
Mailing address
111 WARREN ST STE 2, BEAVER DAM, WI 53916-3084
(920) 219-4440
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
612-228
WI
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/13/2017
Last updated
01/11/2021
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