Individual
MRS. SHARON MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS. ED.
Contact information
Practice address
6815 W CAPITOL DR, SUITE 201, MILWAUKEE, WI 53216-2070
(414) 719-6633
(414) 434-4253
Mailing address
6815 W CAPITOL DR, SUITE 201, MILWAUKEE, WI 53216-2070
(414) 719-6633
(414) 434-4253
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43733000
—
WI
Enumeration date
04/04/2008
Last updated
06/17/2016
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