Individual
LATANGELA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7125 N PRESIDIO DR, MILWAUKEE, WI 53223-6315
(414) 202-4243
Mailing address
7125 N PRESIDIO DR, MILWAUKEE, WI 53223-6315
(414) 202-4243
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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