Individual
CARLA R KNOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
5325 W BURLEIGH ST, MILWAUKEE, WI 53210-1623
(414) 488-9512
Mailing address
6174A W SPENCER PL, MILWAUKEE, WI 53218-4943
(414) 779-1147
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18242130
WI
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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