Individual
DAPHNE D TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4116 W KAUL AVE, MILWAUKEE, WI 53209-3544
(414) 688-3041
Mailing address
4116 W KAUL AVE, MILWAUKEE, WI 53209-3544
(414) 688-3041
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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