Individual
GENETTA SPRINGFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5662 N 36TH ST, MILWAUKEE, WI 53209-3906
(414) 807-6431
Mailing address
5662 N 36TH ST, MILWAUKEE, WI 53209
(414) 807-6431
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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