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General NPI Number Information
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NPI Number | 1437085875
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Entity Type | Organization
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Legal Business Name | WIREBAUGH THERAPY SERVICES
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 984 HASTINGS CT
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City | RACINE
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State | WI
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Zip | 53406-7007
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Country | US
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Telephone | 414-544-5935
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Fax |
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Provider Business Mailing Address
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Address Line | 984 HASTINGS CT
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City | RACINE
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State | WI
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Zip | 53406-7007
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Country | US
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Telephone | 414-544-5935
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Fax |
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Authorized Official
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Title or Position | CLINICAL THERAPIST
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Name | DAWN MARIE WIREBAUGH
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Credential | LPC, SAC
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Telephone | 414-554-5935
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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