Individual
CARRIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 W BROWN DEER RD UNIT G951, MILWAUKEE, WI 53217-2372
(414) 737-2489
Mailing address
7765 N 80TH ST, MILWAUKEE, WI 53223-3809
(414) 737-2489
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801379706
—
WI
Enumeration date
09/07/2018
Last updated
03/09/2022
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