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Individual

LATRISA GILES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2823A N 36TH ST, MILWAUKEE, WI 53210-1925
(414) 553-9291
Mailing address
4706 N 18TH ST, MILWAUKEE, WI 53209-6431
(414) 553-9291

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
171400000X
Health & Wellness Coach
172V00000X
Community Health Worker
347C00000X
Private Vehicle

Other

Enumeration date
08/11/2025
Last updated
08/11/2025
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