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Individual

ELZATA WOODLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2408 W HADLEY ST, MILWAUKEE, WI 53206-1157
(414) 712-2948
Mailing address
2408 W HADLEY ST, MILWAUKEE, WI 53206-1157
(414) 712-2948

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
172A00000X
Driver
Primary

Other

Enumeration date
03/15/2023
Last updated
03/15/2023
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