ELIZABETH SUSAN PORT

MILWAUKEE, WI
NPI1033248968
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: WI  163)
Enumeration Date2007-03-05
Last Update Date2007-07-08
Business Address
Ms. ELIZABETH SUSAN PORT m.s.
6040 W LISBON AVE
MILWAUKEE, WI 53210-2116
Phone number: 414-447-9890
Mailing Address
Ms. ELIZABETH SUSAN PORT m.s.
500 W BRADLEY RD # C109
FOX POINT, WI 53217-2638
Phone number: 414-447-9890
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