Individual
LATOYIA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3878 N 24TH PL, MILWAUKEE, WI 53206-1419
(414) 467-9927
Mailing address
3878 N 24TH PL, MILWAUKEE, WI 53206-1419
(414) 467-9927
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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