Individual
LORRIE LASHELL DALLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SACIT
Contact information
Practice address
5600 W BROWN DEER RD, SUITE 110, MILWAUKEE, WI 53223-2311
(414) 810-6691
(866) 719-3024
Mailing address
912 W NASH ST, MILWAUKEE, WI 53206-3345
(414) 397-9213
(414) 354-7795
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15459 130
WI
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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