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Individual

MR. ERNESTO ATKINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA AT

Contact information

Practice address
2986 S DELAWARE AVE, MILWAUKEE, WI 53207-2562
(312) 720-1615
Mailing address
2986 S DELAWARE AVE, MILWAUKEE, WI 53207-2562
(312) 720-1615

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6426-125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0
WI
Enumeration date
05/01/2017
Last updated
05/01/2017
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