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Individual

MS. COSETTE ELIZABETH HEIGAARD SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT, MS

Contact information

Practice address
620 S 76TH ST, MILWAUKEE, WI 53214-1599
(414) 453-1400
(414) 453-2538
Mailing address
9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 53226-4874

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3341
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1235617721
WI
Enumeration date
08/06/2018
Last updated
07/13/2021
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