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Individual

ROSHA L LANDRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, MSSW

Contact information

Practice address
2266 N PROSPECT AVE, STE 616, MILWAUKEE, WI 53202-6319
(414) 289-0987
Mailing address
2266 N PROSPECT AVE, STE 616, MILWAUKEE, WI 53202-6319
(414) 289-0987

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
126508-121
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41002600
WI
Enumeration date
06/26/2008
Last updated
06/26/2008
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