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Individual

YANAE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1840 N MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-3640
(414) 628-0314
Mailing address
2000 W ROOSEVELT DR, MILWAUKEE, WI 53209-6322

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
05/05/2021
Last updated
05/05/2021
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