Individual
AMARIANNA UPHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6130 W HUSTIS ST, MILWAUKEE, WI 53223
(414) 817-2324
Mailing address
6130 W HUSTIS ST, MILWAUKEE, WI 53223
(414) 817-2324
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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