Individual
BROOKE S SIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 N MAYFAIR RD, WAUWATOSA, WI 53222-2213
(414) 536-8333
(414) 536-8348
Mailing address
3800 N MAYFAIR RD, WAUWATOSA, WI 53222-2213
(608) 512-7668
(414) 536-8348
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
857124
WI
Other
Enumeration date
11/10/2008
Last updated
10/25/2010
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