Individual
BIANCA RENEE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4738 W LISBON AVE, MILWAUKEE, WI 53208-1127
(414) 687-5731
Mailing address
4160 N 39TH ST, MILWAUKEE, WI 53216-1664
(414) 687-5731
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W4520769164807
STATE IDENTIFICATION
WI
Enumeration date
02/14/2020
Last updated
02/14/2020
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