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1184139990
LATRICE LYNETTE PRINCE
MILWAUKEE, WI
NPI
1184139990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 18422-130)
Enumeration Date
2017-12-04
Last Update Date
2018-06-16
Business Address
LATRICE LYNETTE PRINCE
11004 W LANGLADE ST
MILWAUKEE, WI 53225-1321
Phone number: 414-243-9544
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Mailing Address
LATRICE LYNETTE PRINCE
11004 W LANGLADE ST
MILWAUKEE, WI 53225-1321
Phone number: 414-243-9544
Copy
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