Individual
MS. PREVALE S MCLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6096 N HOPKINS ST, MILWAUKEE, WI 53209-3558
(414) 940-9622
Mailing address
6096 N HOPKINS ST, MILWAUKEE, WI 53209-3558
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100103489
—
WI
Enumeration date
09/09/2020
Last updated
09/09/2020
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