Individual
SARA INNAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7900 W BURLEIGH ST, MILWAUKEE, WI 53222-4917
(414) 435-1115
Mailing address
7900 W BURLEIGH ST, MILWAUKEE, WI 53222-4917
(414) 435-1115
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
128188
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128188
WI DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
WI
Enumeration date
07/17/2019
Last updated
07/17/2019
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