Individual
MS. WANDA LACAROL WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTER'S SOCIAL WORK
Contact information
Practice address
6570 N 80TH ST, 208#, MILWAUKEE, WI 53223-5579
(414) 760-8653
Mailing address
2011 W CAPITOL DR, MILWAUKEE, WI 53206-1939
(414) 445-1400
(414) 445-1406
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15735-130
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1160
—
WI
Enumeration date
08/13/2010
Last updated
08/13/2010
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