Individual
MISS MARCELA ALEJANDRA MADRID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 585-1000
Mailing address
3032 N SUMMIT AVE, MILWAUKEE, WI 53211-3463
(262) 683-2190
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
WI
Enumeration date
12/19/2022
Last updated
12/19/2022
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