Individual
KEONIA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8528 W LISBON AVE STE 200, MILWAUKEE, WI 53222-3729
(833) 536-3227
Mailing address
4166 N 47TH ST, MILWAUKEE, WI 53216-1529
(414) 712-1310
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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