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1144990821
ABIGAIL HOMUTH
WAUKESHA, WI
NPI
1144990821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WI 4426-226)
Enumeration Date
2021-09-15
Last Update Date
2021-09-15
Business Address
ABIGAIL HOMUTH
726 N EAST AVE
WAUKESHA, WI 53186-4807
Phone number: 262-544-9622
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Mailing Address
ABIGAIL HOMUTH
1902 N COMMERCE ST APT 406
MILWAUKEE, WI 53212-3489
Phone number: 847-849-9374
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