Mara Tibbals
NPI #1104600774 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1104600774
- Entity Type
- Individual
- Name
- Mara Tibbals
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Aug 23, 2023
- Last Updated
- Aug 23, 2023
Practice Location
- Address
- 10150 W NATIONAL AVE STE 390
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53227-2145
- Phone
- (414) 545-4430
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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