Individual
JOHNELLE SHARNISE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3365 N 53RD ST, MILWAUKEE, WI 53216-3260
(414) 722-7304
Mailing address
3365 N 53RD ST, MILWAUKEE, WI 53216-3260
(414) 722-7304
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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