Provider Information for 1033791264
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LAKEESHA BROWN MS, LPC
Sex: Female
NPI: 1033791264
Last Updated: 2025-03-03
Certification Date: 2025-03-03
Certification Date: 2025-03-03
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1033791264 | ||||||||||||
| Enumeration Date | 2021-04-27 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 4001 W CAPITOL DR MILWAUKEE, WI 53216-2530 United States Phone: 414-455-3879 | Fax:866-719-3024 | ||||||||||||
| Primary Practice Address | 5800 W BURLEIGH ST PMB 014 MILWAUKEE, WI 53210 United States Phone: 262-777-1435 | Fax:262-364-2725 | ||||||||||||
| Secondary Practice Address(es) | 4001 W CAPITOL DR 9000 W WISCONSIN AVE | ||||||||||||
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