Individual
MR. DEMETRIUS LEVANCE ANDERSON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC CSW
Contact information
Practice address
7732 N 80TH ST, MILWAUKEE, WI 53223-3810
(414) 477-4506
Mailing address
7732 N 80TH ST, MILWAUKEE, WI 53223-3810
(414) 477-4506
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3761-226
WI
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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