Individual
MAKAILA AMEENA PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9430 W ROCHELLE AVE, MILWAUKEE, WI 53224-4644
(414) 914-3216
Mailing address
9430 W ROCHELLE AVE, MILWAUKEE, WI 53224-4644
(414) 914-3216
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100193229
—
WI
05
—
87-4499743
—
WI
Enumeration date
02/17/2022
Last updated
02/17/2022
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