Individual
BRETT JOHN BROCKWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
1501 AIRPORT RD, WAUKESHA, WI 53188-2461
(262) 548-7947
Mailing address
N26W26817 PROSPECT AVE, PEWAUKEE, WI 53072-4515
(262) 695-1450
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
WI
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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