Individual
DEAFRICA MILTON ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3425 N 67TH ST, MILWAUKEE, WI 53216-2728
(262) 527-1282
(262) 527-1282
Mailing address
107 W BROWN ST, MILWAUKEE, WI 53212-3714
(414) 501-0926
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
372600000X
Adult Companion
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82-1136184
—
WI
Enumeration date
06/13/2017
Last updated
06/13/2017
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