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Latasha N Woods

Case Manager/Care Coordinator in Milwaukee, WI. Individual provider (NPI-1).

NPI number1669932398
StatusActive
Last updated in NPPESMar 20, 2019

Details

NPI
1669932398
Entity type
Individual (NPI-1)
Name
Latasha N Woods
Sex
Female
Sole proprietor
No
Enumeration date
Mar 20, 2019
Last updated
Mar 20, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Other names

  • Latasha N. Gipson (Other Name)

Practice location

4929 W Fond Du Lac Ave
Milwaukee, WI 53216-2324

Phone 414-871-6122 · Fax 414-871-2552

Mailing address

4929 W Fond Du Lac Ave
Milwaukee, WI 53216-2324

Phone 414-871-6122 · Fax 414-871-2552

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