Individual
TRUDY LATHAN JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5622 N 65TH ST, MILWAUKEE, WI 53218-2328
(414) 254-4909
Mailing address
3862 N 54TH BLVD, MILWAUKEE, WI 53216-2206
(414) 254-4909
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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