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Individual

LAKESHA RENEA LIDDELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., LPC -IT

Contact information

Practice address
8624 W GREEN BROOK DR, LOWER, MILWAUKEE, WI 53224-2127
(414) 426-5266
Mailing address
8624 W GREEN BROOK DR, LOWER, MILWAUKEE, WI 53224-2127
(414) 426-5266

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
03/30/2011
Last updated
04/30/2013
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