Individual
DETRA DUKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5201 W FAIRMOUNT AVE, MILWAUKEE, WI 53218-4343
(262) 505-7060
Mailing address
5201 W FAIRMOUNT AVE APT 7, MILWAUKEE, WI 53218-4343
(262) 505-7030
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
0020037
WI
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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