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Individual

MS. CHARLOTTE DELORES MAYFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, CAPSW

Contact information

Practice address
4929 W FOND DU LAC AVE, MILWAUKEE, WI 53216-2324
(414) 871-6122
(414) 871-2552
Mailing address
3606 N 64TH ST, MILWAUKEE, WI 53216-2727
(414) 445-8720

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
126904-121
WI

Other

Enumeration date
02/23/2007
Last updated
07/08/2007
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