KEHNIDE MUATA LUMUMBA

MILWAUKEE, WI
NPI1043513419
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  15253-132)
Enumeration Date2010-12-07
Last Update Date2010-12-07
Business Address
Mr. KEHNIDE MUATA LUMUMBA CSAS
3020 W VLIET ST
MILWAUKEE, WI 53208-2461
Phone number: 414-312-8910
Mailing Address
Mr. KEHNIDE MUATA LUMUMBA CSAS
3020 W VLIET ST
MILWAUKEE, WI 53208-2461
Phone number: 414-312-8910
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