Individual
LANON OUSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5125 W FAIRMOUNT AVE, MILWAUKEE, WI 53218-4342
(414) 897-7668
Mailing address
5125 W FAIRMOUNT AVE, MILWAUKEE, WI 53218-4342
(414) 897-7668
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/02/2016
Last updated
01/02/2016
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