| 1-9 Youth & Family Services | |
|
2201 N Mlk Dr Milwaukee WI 53212-3125 | |
| (414) 630-4986 | |
| Not Available |
| Full Name | 1-9 Youth & Family Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2201 N Mlk Dr, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Dorothy Ree Mccollum (DIRECTOR) |
| Authorized Official Contact | 4146304986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 1-9 Youth & Family Services 3603 N Humboldt Blvd Milwaukee WI 53212-1705 Ph: (414) 630-4986 | 1-9 Youth & Family Services 2201 N Mlk Dr Milwaukee WI 53212-3125 Ph: (414) 630-4986 |
| NPI Number | 1194286294 |
|---|---|
| Provider Enumeration Date | 03/29/2019 |
| Last Update Date | 03/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194286294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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