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Individual

MAYLOGGS LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT, MLD-C

Contact information

Practice address
759 N MILWAUKEE ST STE 411, MILWAUKEE, WI 53202-3714
(414) 376-7610
Mailing address
759 N MILWAUKEE ST STE 411, MILWAUKEE, WI 53202-3714
(414) 376-7610

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15536-146
WI

Other

Enumeration date
03/22/2022
Last updated
03/22/2022
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