Individual
BRIDGETTE OLIVIA BRODZELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(262) 548-7666
Mailing address
4915 SAINT ANNES DR, MIDDLETON, WI 53597-8823
(608) 886-4163
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9319-123
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
WI
Other
Enumeration date
09/12/2014
Last updated
05/26/2022
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