Individual
KAYLA DANIELLE STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3090 N 53RD ST, MILWAUKEE, WI 53210-1617
(414) 531-6798
Mailing address
3090 N 53RD ST, MILWAUKEE, WI 53210-1617
(414) 531-6798
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0731
—
WI
Enumeration date
10/07/2019
Last updated
10/07/2019
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