Individual
HEATHER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6830 W VILLARD AVE STE 190, MILWAUKEE, WI 53218-3968
(262) 320-7886
Mailing address
2531 N 27TH ST, MILWAUKEE, WI 53210-3109
(920) 210-6610
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/01/2020
Last updated
08/01/2020
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