Individual
PAMELA LONGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4562 N 75TH ST, MILWAUKEE, WI 53218-5434
(414) 841-5505
Mailing address
4562 N 75TH ST, MILWAUKEE, WI 53218-5434
(414) 841-5505
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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