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Individual

CARLOS ALEXIS ORTEGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC-IT

Contact information

Practice address
606 W WISCONSIN AVE, STE 202 PMB 1071, MILWAUKEE, WI 53203
(414) 375-0449
Mailing address
606 W WISCONSIN AVE, STE 202 PMB 1071, MILWAUKEE, WI 53203

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5430-226
WI

Other

Enumeration date
06/10/2024
Last updated
06/10/2024
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