Individual
LARISSA MENDOZA NASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3872 N 8TH ST, MILWAUKEE, WI 53206-3303
(262) 838-0167
Mailing address
3872 N 8TH ST, MILWAUKEE, WI 53206-3303
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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