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1023612975
KENTRELL DEANDRE WASHINGTON
WAUWATOSA, WI
NPI
1023612975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: WI 132159121)
Enumeration Date
2020-11-22
Last Update Date
2020-11-22
Business Address
KENTRELL DEANDRE WASHINGTON APSW
2222 N MAYFAIR RD STE 120
WAUWATOSA, WI 53226-2262
Phone number: 414-939-9390
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Mailing Address
KENTRELL DEANDRE WASHINGTON APSW
1732 N PROSPECT AVE APT 207
MILWAUKEE, WI 53202-1945
Phone number: 920-728-2361
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