ANTOINETTE RAE JACKSON

MILWAUKEE, WI
NPI1144196387
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date2025-10-15
Last Update Date2025-10-15
Business Address
ANTOINETTE RAE JACKSON
3925 N 6TH ST
MILWAUKEE, WI 53212-1139
Phone number: 414-234-7720
Mailing Address
ANTOINETTE RAE JACKSON
PO BOX 43
MEQUON, WI 53092-0043
Phone number: 414-234-7720
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