Individual
DAQUASIA EAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2004 DURAND AVE, RACINE, WI 53403-3278
(262) 467-8881
Mailing address
2004 DURAND AVE, RACINE, WI 53403-3278
(262) 467-8881
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0020942
WI
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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