Individual
TEQUILLA DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHA
Contact information
Practice address
2025 N MARTIN LUTHER KING DR UNIT 130, MILWAUKEE, WI 53212-3152
(414) 232-6268
Mailing address
2025 N MARTIN LUTHER KING DR UNIT 130, MILWAUKEE, WI 53212-3152
(414) 232-6268
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
253Z00000X
WI
Other
Enumeration date
03/27/2025
Last updated
01/11/2026
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