Individual
MRS. CAROLINE ANN PASSANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6414 W FOND DU LAC AVE, MILWAUKEE, WI 53218-4917
(414) 463-8777
Mailing address
10119 W VIENNA AVE, WAUWATOSA, WI 53222-2352
(414) 535-0079
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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