Organization
LADIES EMPOWERED WITH RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER M MALONE (EXECUTIVE DIRECTOR/PRESIDENT)
(414) 377-3989
Entity
Organization
Contact information
Practice address
3605 N 60TH ST, MILWAUKEE, WI 53216-2713
(414) 377-3989
Mailing address
3605 N 60TH ST, MILWAUKEE, WI 53216-2713
(414) 377-3989
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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