Individual
DE'SIREE R CARMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(262) 896-8410
Mailing address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(262) 896-8410
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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