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Provider Information for 1548412778


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CHRISTINE HILL TABER LCSW


Sex: Female

NPI: 1548412778
Last Updated: 2019-07-10
Certification Date:

Details

NameValue
NPI1548412778
Enumeration Date2008-10-21
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 5000 W NATIONAL AVE BLDG 43
MILWAUKEE, WI 53295-0001
United States

Phone: 414-384-2000 | Fax:
 
Primary Practice Address 5000 W NATIONAL AVE BLDG 43
MILWAUKEE, WI 53295-0001
United States

Phone: 414-335-8391 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalCA26791