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Individual

MRS. MARGARET MARY RENZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
12630 W NORTH AVE BLDG E, BROOKFIELD, WI 53005
(262) 785-1008
(262) 432-9059
Mailing address
12630 W NORTH AVE BLDG E, BROOKFIELD, WI 53005-4626
(262) 785-1008
(262) 432-9059

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1444-226
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1275882003
WI
Enumeration date
09/07/2012
Last updated
08/29/2018
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