Individual
SARA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3707 N RICHARDS ST, MILWAUKEE, WI 53212-1673
(414) 967-7006
Mailing address
3707 N RICHARDS ST, MILWAUKEE, WI 53212-1673
(414) 967-7006
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
194490
WI
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
194430
WI
Other
Enumeration date
03/04/2024
Last updated
03/21/2024
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