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Organization

A KEY TO THE STREETS FOUNDATION INC.

Active
Other names
A Key To The Streets Foundation Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
SHAQUAN L JEFFERSON MA-LPC-IT (MENTAL HEALTH THERAPIST)
(414) 759-4730
Entity
Organization

Contact information

Practice address
7010 N 60TH ST APT 101, MILWAUKEE, WI 53223-5112
(414) 759-4730
Mailing address
PO BOX 5483, MILWAUKEE, WI 53205-0483
(414) 759-4730

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
01/18/2023
Last updated
01/18/2023
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