Individual
DELIA IVETTE CORCHADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6737 W WASHINGTON ST, MILWAUKEE, WI 53214-5647
(414) 246-2357
(414) 246-2524
Mailing address
4135 W VLIET ST, MILWAUKEE, WI 53208-2766
(414) 704-6790
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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