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Individual

IDA MAE WINTERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6518 W CHAMBERS ST, MILWAUKEE, WI 53210-1307
(414) 698-6670
Mailing address
6518 W CHAMBERS ST, MILWAUKEE, WI 53210-1307
(414) 698-6670

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
WI
171M00000X
Case Manager/Care Coordinator
Primary
WI
172V00000X
Community Health Worker
WI
175T00000X
Peer Specialist
WI
374J00000X
Doula
WI

Other

Enumeration date
08/06/2026
Last updated
08/07/2026
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