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Individual

MILENA GOTRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-0660
(414) 955-0076
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-0660
(414) 955-0076

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
5235
WI
103T00000X
Psychologist
Primary
5235
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1437992690
WI
Enumeration date
06/17/2024
Last updated
08/08/2024
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