Individual
MS. WILMA J WERNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3900 W BROWN DEER RD, SUITE 200, BROWN DEER, WI 53209
(414) 540-2170
(414) 540-2171
Mailing address
3900 W BROWN DEER RD, SUITE 200, BROWN DEER, WI 53209
(414) 540-2170
(414) 540-2171
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
24036
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24036
LICENSED ART PSYCHOTHERAP
WI
05
—
43573400
—
WI
01
—
98107
NATL ART THEARY CREDENTIA
—
Enumeration date
09/22/2006
Last updated
07/08/2007
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