Individual
KATHY L MCRAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4957 N 25TH ST, MILWAUKEE, WI 53209-5618
(414) 229-8719
(414) 509-5370
Mailing address
4957 N 25TH ST, MILWAUKEE, WI 53209-5618
(414) 793-5899
(414) 509-5370
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
3747P1801X
Personal Care Attendant
00102586
WI
Other
Enumeration date
08/21/2023
Last updated
06/09/2025
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