Individual
ANGELA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6815 W CAPITOL DR, MILWAUKEE, WI 53216-2070
(602) 802-4054
Mailing address
6815 W CAPITOL DR, MILWAUKEE, WI 53216-2070
(602) 802-4054
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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