Individual
LA-SHAUNA S WINT-POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 S 76TH ST, MILWAUKEE, WI 53214-1599
(414) 292-4242
Mailing address
6462 N FRESNO ST, MILWAUKEE, WI 53224-5347
(414) 426-6310
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
132345-121
WI
1041C0700X
Clinical Social Worker
Primary
12669-123
WI
Other
Enumeration date
09/03/2025
Last updated
11/11/2025
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