Individual
BRIA FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2661 N 53RD ST, MILWAUKEE, WI 53210-2326
(414) 484-4646
Mailing address
5274 N LOVERS LANE RD APT 205, MILWAUKEE, WI 53225-3021
(414) 484-4646
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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