Individual
MRS. LATARA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2447 N 50TH ST, MILWAUKEE, WI 53210-2815
(702) 504-6400
Mailing address
2447 N 50TH ST, MILWAUKEE, WI 53210-2815
(702) 504-6400
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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