Individual
HEATHER MARIE BROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7635 W OKLAHOMA AVE, SUITE 201, MILWAUKEE, WI 53219-3600
(414) 301-2445
Mailing address
5745 CAMBRIDGE LN, UNIT 1, MT PLEASANT, WI 53406-2837
(262) 497-5526
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8513-123
WI
Other
Enumeration date
04/28/2016
Last updated
11/14/2016
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