Individual
MS. SHENIKA MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1523 W HADLEY ST, MILWAUKEE, WI 53206-2146
(414) 628-9582
Mailing address
1523 W HADLEY ST, MILWAUKEE, WI 53206-2146
(414) 628-9582
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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