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Individual

LACHELLE BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3292 N 60TH ST, MILWAUKEE, WI 53216-3168
(414) 388-5492
Mailing address
3292 N 60TH ST, MILWAUKEE, WI 53216-3168
(414) 388-5492

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
813286464
WI

Other

Enumeration date
01/31/2017
Last updated
01/31/2017
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