Individual
LEAH LARIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8616 N 57TH ST, MILWAUKEE, WI 53223-2906
(920) 377-6555
Mailing address
8616 N 57TH ST, MILWAUKEE, WI 53223-2906
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7823
WI
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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