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Latrice Lynette Prince
Addiction (Substance Use Disorder) Counselor in Milwaukee, Wisconsin
NPI 1184139990

Latrice Lynette Prince is an Addiction (Substance Use Disorder) Counselor based in Milwaukee, WI and is specialized in Addiction (Substance Use Disorder). Latrice Lynette Prince practices in Milwaukee, WI. The NPI Number for Latrice Lynette Prince is 1184139990 and holds a License No. 18422-130 (Wisconsin).

The current practice location address for Latrice Lynette Prince is 11004 W Langlade St, Milwaukee, WI and can be reached out via phone at 414-243-9544.

Location: 11004 W Langlade St, Milwaukee, WI, 53225-1321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184139990
Provider Name
Latrice Lynette Prince
Credential
Provider Entity Type
Individual
Gender
Female
Address
11004 W Langlade St, Milwaukee, WI, 53225-1321
Phone Number
414-243-9544
Fax Number
Provider Enumeration Date
12/04/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
18422-130 05 WI
institution
Provider Business Practice Location Address Details
Address
11004 W Langlade St
City
Milwaukee
State
Wisconsin
Zip
53225-1321
Phone Number
414-243-9544
Fax Number
person
Provider Business Mailing Address Details
Address
11004 W Langlade St
City
Milwaukee
State
Wisconsin
Zip
53225-1321
Phone Number
414-243-9544
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
18422-130 (Wisconsin)
Definition
Definition to come...
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