Individual
MR. GREGG ROBERT BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
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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