Individual
MS. MARY K. BRAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3666
Mailing address
10000 W INNOVATION DR, MILWAUKEE, WI 53226-4837
(414) 456-5006
(414) 456-6259
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
797
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000810590141
PHCS
—
Enumeration date
11/16/2006
Last updated
07/08/2007
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