Search › Wisconsin › 104100000X
Breanna Vaughn, APSW
NPI 1063984847 · on the registry since 2018 · sole proprietor
Practice
- Address
- N52w35634 W Lake Dr
Oconomowoc, WI 53066 - Phone
- (262) 901-5881
- Organisation at this address
- Secure Beginnings, Llc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 400 Genesee St, Delafield, WI
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 106S00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin