Individual
JOHN DAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1331 E RANDOLPH CT APT A, MILWAUKEE, WI 53212-1840
(414) 963-6272
(414) 963-6272
Mailing address
1331 E RANDOLPH CT APT A, MILWAUKEE, WI 53212-1840
(414) 963-6272
(414) 963-6272
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
712621
WI
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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