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1124390869
VICTORIA MAHBOUB
KENOSHA, WI
NPI
1124390869
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.012721)
Enumeration Date
2012-01-26
Last Update Date
2012-01-26
Business Address
-- VICTORIA MAHBOUB LCSW
6014 41ST AVE
KENOSHA, WI 53142-7025
Phone number: 262-818-3531
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Mailing Address
-- VICTORIA MAHBOUB LCSW
6014 41ST AVE
KENOSHA, WI 53142-7025
Phone number:
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