Individual
MRS. SANDRA KAYE BRUGGINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
721 AMERICAN AVE, PHMG BEHAVIORAL MEDICINE CENTER, WAUKESHA, WI 53188-5071
(262) 928-4036
Mailing address
721 AMERICAN AVE, PHMG BEHAVIORAL MEDICINE CENTER, WAUKESHA, WI 53188-5071
(262) 928-4036
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4970-125
WI
Other
Enumeration date
05/16/2013
Last updated
10/10/2016
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