Provider Information for 1801407895
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MAXINE FRAN RABINOWE MSW, LICSW
Sex: Female
NPI: 1801407895
Last Updated: 2020-08-12
Certification Date: 2020-08-12
Certification Date: 2020-08-12
Details
| Name | Value | ||||||||
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| NPI | 1801407895 | ||||||||
| Enumeration Date | 2020-08-12 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1943 N SUMMIT AVE APT 14 MILWAUKEE, WI 53202-1386 United States Phone: 262-498-4541 | Fax: | ||||||||
| Primary Practice Address | 1943 N SUMMIT AVE APT 14 MILWAUKEE, WI 53202-1386 United States Phone: 262-498-4541 | Fax: | ||||||||
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