Joe Willie Smith JR. B.A.

NPI 1306976527 - Counselor - 101Y00000X

NPI Details
NPI 1306976527
Gender Male
Enumeration Date 03/06/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
MILWAUKEE WI, 53210-2116, US
Phone (414) 447-9890
Fax (414) 447-9891
Business Location
5128 N 56TH ST
MILWAUKEE WI, 53218-4214, US
Phone (414) 587-0508
Fax (414) 463-0873
Taxonomy Code 101Y00000X
License State Wisconsin
License Number 101Y00000X
Remove 1306976527 NPI Number

According to our database, Mr. Joe Willie Smith JR. B.A. NPI is 1306976527, taxonomy code is 101Y00000X and license number is 101Y00000X, license state is located at Wisconsin. Joe Willie Smith JR. B.A. physically located at 6040 W Lisbon Ave Ste 200, Milwaukee WI, 53210-2116. NPI Number Joe Willie Smith JR. B.A. has the Individual type.

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1306976527 NPI number is provided on an as is basis without warranty of any kind. 1306976527 is maintained by the National Plan & Provider Enumeration System. The contents of Joe Willie Smith JR. B.A. are for informational purposes only.