Individual
MRS. LAKISHA METCALF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEER SPECIALIST
Contact information
Practice address
5225 N IRONWOOD RD, GLENDALE, WI 53217-4909
(414) 416-9684
Mailing address
12310 W HADLEY ST, MILWAUKEE, WI 53222-4026
(414) 416-9684
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WI
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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