Individual
JAZZMIN DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2860 N 45TH ST, MILWAUKEE, WI 53210-1713
(414) 306-0663
Mailing address
2860 N 45TH ST, MILWAUKEE, WI 53210-1713
(414) 306-0663
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
WI
174H00000X
Health Educator
—
WI
251B00000X
Case Management Agency
Primary
—
WI
347C00000X
Private Vehicle
D2504368963204
WI
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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