Individual
MS. BRENDA KAY STIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, PHD
Contact information
Practice address
10721 W CAPITOL DR, 126, MILWAUKEE, WI 53222-1210
(414) 510-7704
Mailing address
PO BOX 830, MILWAUKEE, WI 53201-0830
(414) 510-7704
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4145-123
WI
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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