Individual
TIARA NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4731 N 29TH ST, MILWAUKEE, WI 53209-6009
(414) 484-2238
Mailing address
4731 N 29TH ST, MILWAUKEE, WI 53209-6009
(414) 484-2238
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WI
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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