Provider Information for 1467092320
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CHRISTINA MANOLATOS MA,LPC, NBCCH
Sex: Female
NPI: 1467092320
Last Updated: 2020-01-08
Certification Date: 2020-01-08
Certification Date: 2020-01-08
Details
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NPI | 1467092320 | ||||||||
Enumeration Date | 2020-01-08 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 3921 N HUMBOLDT BLVD APT 801 MILWAUKEE, WI 53212-1365 United States Phone: 414-243-5467 | Fax: | ||||||||
Primary Practice Address | 3921 N HUMBOLDT BLVD APT 801 MILWAUKEE, WI 53212-1365 United States Phone: 414-243-5467 | Fax: | ||||||||
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