Individual
MS. LARENA SCRUGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
953 N 37TH ST, MILWAUKEE, WI 53208-3104
(414) 721-1089
Mailing address
953 N 37TH ST, MILWAUKEE, WI 53208-3104
(414) 721-1089
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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