Individual
LASHONDA MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW, LCSW
Contact information
Practice address
2555 N DR MARTIN LUTHER KING JR DR, MILWAUKEE, WI 53212-2709
(414) 372-8080
(414) 267-8570
Mailing address
2555 N DR MARTIN LUTHER KING JR DR, MILWAUKEE, WI 53212-2709
(414) 372-8080
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
9847-123
WI
1041C0700X
Clinical Social Worker
Primary
9847-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100055505
—
WI
Enumeration date
03/23/2015
Last updated
05/08/2025
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