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Organization
TETZLAFF & MYHRE PSYCHOTHERAPY AND ASSESSMENTS, LLC
Active
Organization
TETZLAFF & MYHRE PSYCHOTHERAPY AND ASSESSMENTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDIE L TETZLAFF LCSW (PSYCHOTHERAPIST/OWNER)
(262) 719-2975
Entity
Organization
Contact information
Practice address
890 ELM GROVE RD STE 203, ELM GROVE, WI 53122-2528
(262) 719-2975
Mailing address
890 ELM GROVE RD STE 203, ELM GROVE, WI 53122-2528
(262) 719-2975
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43743800
—
WI
Enumeration date
10/13/2020
Last updated
11/11/2024
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