Organization
BRILL COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JO BRILL LCSW (PSYCHOTHERAPIST)
(414) 906-1445
Entity
Organization
Contact information
Practice address
4433 N OAKLAND AVE, SHOREWOOD, WI 53211-1600
(414) 906-1445
(414) 906-1445
Mailing address
4433 N OAKLAND AVE, SHOREWOOD, WI 53211-1600
(414) 906-1445
(414) 906-1445
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3677123
WI
1041C0700X
Clinical Social Worker
7969123
WI
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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