Individual
MR. LAWTON AVERY MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SAC-IT
Contact information
Practice address
2727 W CLEVELAND AVE STE 204, MILWAUKEE, WI 53215-2956
(414) 269-8356
(414) 455-1915
Mailing address
2727 W CLEVELAND AVE STE 204, MILWAUKEE, WI 53215-2956
(414) 269-8356
(414) 455-1915
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18713-130
WI
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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