Individual
MARONNIA SHADA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3858 N 98TH ST, MILWAUKEE, WI 53222-2452
(414) 702-9686
Mailing address
3858 N 98TH ST, MILWAUKEE, WI 53222-2452
(414) 702-9686
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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