Individual
MRS. SPARKLE ASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 N 88TH ST, MILWAUKEE, WI 53222-2706
(414) 466-9450
Mailing address
3801 N 88TH ST, MILWAUKEE, WI 53222-2706
(414) 466-3450
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
261QM0801X
WI
Other
Enumeration date
04/20/2016
Last updated
05/09/2017
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