Individual
ANGELA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC-IT
Contact information
Practice address
1530 S 170TH ST, NEW BERLIN, WI 53151-1328
(262) 993-5308
Mailing address
1530 S 170TH ST, NEW BERLIN, WI 53151-1328
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8248-226
WI
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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