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Individual

BRENDA JO NEMITZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3704 WESTON AVE, WESTON, WI 54476-5242
(715) 298-6364
(715) 298-6365
Mailing address
2224 SETTER DR, KRONENWETTER, WI 54455-7278
(715) 551-4137

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100054852
WI
Enumeration date
02/10/2016
Last updated
07/16/2020
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