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SHANTA LATRICE HOBBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSAC

Contact information

Practice address
535 N 39TH ST, MILWAUKEE, WI 53208-3746
(414) 962-1200
(414) 962-2305
Mailing address
8062 W HERBERT AVE, MILWAUKEE, WI 53218-3629
(414) 477-5575

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16648-132
WI

Other

Enumeration date
05/07/2018
Last updated
05/07/2026
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