Individual
APRIL MBIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3302 N 86TH ST, MILWAUKEE, WI 53222-3738
(414) 350-6091
Mailing address
3302 N 86TH ST, MILWAUKEE, WI 53222-3738
(414) 350-6091
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10230-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306618129
—
WI
Enumeration date
10/25/2023
Last updated
06/11/2024
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