Individual
ANGELA AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6508 N 56TH ST, MILWAUKEE, WI 53223-5916
(414) 509-9419
Mailing address
6508 N 56TH ST, MILWAUKEE, WI 53223-5916
(414) 509-9419
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/12/2023
Last updated
11/20/2023
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