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Organization

ESSENTIAL ASSISTANCE PRENATAL CARE AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARQUES CARROLL (OWNER)
(414) 915-9424
Entity
Organization

Contact information

Practice address
8018 W CAPITOL DR STE 105, MILWAUKEE, WI 53222-1906
(414) 915-9424
(414) 488-1411
Mailing address
8018 W CAPITOL DR STE 105, MILWAUKEE, WI 53222-1906
(414) 915-9424
(414) 488-1411

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
04/16/2021
Last updated
04/16/2021
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