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General NPI Number Information
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NPI Number | 1659259448
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Entity Type | Organization
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Legal Business Name | MILWAUKEE LGBT COMMUNITY CENTER
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 315 W COURT ST
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City | MILWAUKEE
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State | WI
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Zip | 53212-3844
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Country | US
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Telephone | 414-204-3666
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Fax |
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Provider Business Mailing Address
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Address Line | 315 W COURT ST
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City | MILWAUKEE
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State | WI
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Zip | 53212-3844
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Country | US
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Telephone | 414-204-3666
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Fax |
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Authorized Official
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Title or Position | CLINICAL SERVICES DIRECTOR
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Name | SARAH KATHERINE NYGREN
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Credential | CSAC, LPC
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Telephone | 414-204-3666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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