Individual
PORSHA JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1708 W MEINECKE AVE, MILWAUKEE, WI 53206-2037
(414) 739-1485
Mailing address
1708 W MEINECKE AVE, MILWAUKEE, WI 53206-2037
(414) 739-1485
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WI
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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