person
Ms. Elizabeth Susan Port, MS
Professional Counselor in Milwaukee, Wisconsin
NPI 1033248968

Elizabeth Susan Port is a Professional Counselor based in Fox Point, WI and is specialized in Professional. Elizabeth Susan Port practices in Milwaukee, WI and has the professional credentials of MS. The NPI Number for Elizabeth Susan Port is 1033248968 and holds a License No. 163 (Wisconsin).

The current practice location address for Elizabeth Susan Port is 6040 W Lisbon Ave, Milwaukee, WI and can be reached out via phone at 414-447-9890.

Location: 6040 W Lisbon Ave, Milwaukee, WI, 53217-2638
person
Provider Profile Details
NPI Number
1033248968
Provider Name
Elizabeth Susan Port
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
6040 W Lisbon Ave, Milwaukee, WI, 53217-2638
Phone Number
414-447-9890
Fax Number
Provider Enumeration Date
03/05/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6040 W Lisbon Ave
City
State
Zip
53210-2116
Phone Number
414-447-9890
Fax Number
person
Provider Business Mailing Address Details
Address
6040 W Lisbon Ave
City
State
Zip
53210-2116
Phone Number
414-447-9890
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
163 (Wisconsin)
Definition
Definition to come...
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