Individual
MUSSERAT MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 N 12TH ST STE 200, MILWAUKEE, WI 53233-1308
(414) 773-4312
Mailing address
4567 S FOXWOOD BLVD, GREENFIELD, WI 53228-4403
(551) 998-1587
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
807-228
WI
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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