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Individual

MRS. ZELODIUS L MORTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
6040 W LISBON AVE, SUITE B2, MILWAUKEE, WI 53210-2116
(414) 445-9797
(414) 445-7979
Mailing address
6040 WEST LISBON, SUITE B2, MILWAUKEE, WI 53210
(414) 445-9797
(414) 445-7979

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15364-131
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39178500
WI
Enumeration date
04/15/2008
Last updated
04/15/2008
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