Individual
CAROLYN EXUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3707 N RICHARDS ST, MILWAUKEE, WI 53212-1673
(414) 967-7006
(414) 967-7020
Mailing address
4069 N 91ST ST, MILWAUKEE, WI 53222-1605
(414) 366-1880
(414) 967-7020
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
135848
WI
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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