Individual
KIMBERLY BRANDHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW, SAC-IT
Contact information
Practice address
12970 W BLUEMOUND RD STE 200, ELM GROVE, WI 53122-2607
(262) 780-1020
Mailing address
12970 W BLUEMOUND RD STE 200, ELM GROVE, WI 53122-2607
(262) 780-1020
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
131282-121
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265092167
—
WI
Enumeration date
06/13/2019
Last updated
04/27/2021
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