Individual
ANGELA M HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1225 W HISTORIC MITCHELL ST, #223, MILWAUKEE, WI 53204-3383
(414) 383-4455
(414) 383-6759
Mailing address
1225 W HISTORIC MITCHELL ST, #223, MILWAUKEE, WI 53204-3383
(414) 383-4455
(414) 383-6759
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051061
DATE OF BIRTH
WI
Enumeration date
02/15/2007
Last updated
07/08/2007
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