Individual
MRS. ROSHANDA EVETTE PULLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
2801 INTERNATIONAL LN STE 205, MADISON, WI 53704-3152
(608) 241-4285
(608) 241-4286
Mailing address
1537 S 5TH ST, MILWAUKEE, WI 53204-2844
(414) 299-9018
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
20298-130
WI
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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