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Individual

MR. GREGG ROBERT BREWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.

Contact information

Practice address
700 N WESTHAVEN DR, OSHKOSH, WI 54904-6947
(920) 456-2030
(920) 456-2025
Mailing address
700 N WESTHAVEN DR, OSHKOSH, WI 54904-6947
(920) 456-2030
(920) 456-2025

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
610-125
WI
1041C0700X
Clinical Social Worker
Primary
1071-123
WI
106H00000X
Marriage & Family Therapist
87-124
WI

Other

Enumeration date
05/24/2013
Last updated
03/19/2014
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