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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LATEA LEE (OWNER)
(414) 852-5546
Entity
Organization

Contact information

Practice address
W172N11287, APT A, GERMANTOWN, WI 53022
(414) 852-5546
Mailing address
W172N11287, APT A, GERMANTOWN, WI 53022
(414) 852-5546

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
06/03/2021
Last updated
06/03/2021
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