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1609272418
LAKIESHA RUSSELL
MILWAUKEE, WI
NPI
1609272418
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 6098-125)
Enumeration Date
2014-11-06
Last Update Date
2019-08-08
Business Address
Miss LAKIESHA RUSSELL LPC-IT
620 S 76TH ST
MILWAUKEE, WI 53214-1599
Phone number: 414-453-1400
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Mailing Address
Miss LAKIESHA RUSSELL LPC-IT
9000 W WISCONSIN AVE # MS 958
MILWAUKEE, WI 53226-4874
Phone number: 414-266-7615
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