Individual
MARISOL E. BROST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14755 W CAPITOL DR, BROOKFIELD, WI 53005-2318
(414) 292-4182
(414) 292-4182
Mailing address
6737 W WASHINGTON ST STE 2275, WEST ALLIS, WI 53214-5666
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
11273-123
WI
1041C0700X
Clinical Social Worker
Primary
11273-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013553932
—
WI
Enumeration date
11/26/2019
Last updated
02/18/2025
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