SHYRIDA DANESS LANE

MILWAUKEE, WI
NPI1316572688
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  19075-130)
Enumeration Date2020-03-07
Last Update Date2020-03-07
Business Address
SHYRIDA DANESS LANE
1730 W NORTH AVE
MILWAUKEE, WI 53205-1254
Phone number: 414-906-2714
Mailing Address
SHYRIDA DANESS LANE
9381 N 49TH ST APT 102
MILWAUKEE, WI 53223-6429
Phone number: 414-499-4220