Organization
MOMMY & ME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHAPPELLE DENEEN BRUNSON (DIRECTOR)
(414) 722-7667
Entity
Organization
Contact information
Practice address
3908 N 53RD ST, MILWAUKEE, WI 53216-2204
(414) 944-1601
Mailing address
3908 N 53RD ST, MILWAUKEE, WI 53216-2204
(414) 944-1601
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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