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Individual

MS. PATRICIA K BRICENO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS LCSW

Contact information

Practice address
3970 N OAKLAND AVE, LAKESHORE CLINIC SUITE 502, MILWAUKEE, WI 53211
(414) 962-9909
(414) 332-8596
Mailing address
3970 N OAKLAND AVE, LAKESHORE CLINIC SUITE 502, MILWAUKEE, WI 53211
(414) 962-9909
(414) 332-8596

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1965123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39676000
WI
Enumeration date
11/09/2006
Last updated
07/23/2007
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