Individual
LATRICE BYNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2433 W NATIONAL AVE, MILWAUKEE, WI 53204-1014
(262) 327-9157
Mailing address
2433 W NATIONAL AVE, MILWAUKEE, WI 53204-1014
(262) 327-9157
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
WI
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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