Individual
KARMELITA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 N 76TH ST, MILWAUKEE, WI 53213-3508
(414) 248-6358
Mailing address
2342 N 2ND ST, MILWAUKEE, WI 53212-3227
(414) 248-6358
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/22/2020
Last updated
05/22/2020
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