Individual
LYDIA R FERRARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 S 76TH ST, MILWAUKEE, WI 53214-1599
(414) 453-1400
(414) 453-2538
Mailing address
620 S 76TH ST, MILWAUKEE, WI 53214-1599
(414) 453-1400
(414) 453-2538
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4291-226
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477164960
—
WI
Enumeration date
08/10/2020
Last updated
03/01/2021
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