QWASHALA A HARRIS

MILWAUKEE, WI
NPI1093465452
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  19657-130)
Enumeration Date2022-03-28
Last Update Date2022-03-28
Business Address
QWASHALA A HARRIS SAC-IT
1610 MILLER PARK WAY
MILWAUKEE, WI 53214-3604
Phone number: 414-672-3801
Mailing Address
QWASHALA A HARRIS SAC-IT
1610 MILLER PARK WAY
MILWAUKEE, WI 53214-3604
Phone number: 414-672-3801