Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 128847-121 | WI |
NPI | 1003156746 |
---|---|
Provider Name | Alisha R Kraus |
First Address | Milwaukee, WI 53202-1491 |
Second Address | Milwaukee, WI 53226-3552 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2013 |
Last Update Date | 17/02/2013 |