Individual
BRENT GUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, APSW
Contact information
Practice address
3703 OAKWOOD HILLS PKWY STE 100, EAU CLAIRE, WI 54701-4458
(534) 444-4562
Mailing address
3703 OAKWOOD HILLS PKWY STE 100, EAU CLAIRE, WI 54701-4458
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
131760-121
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041C0700X
—
WI
Enumeration date
09/03/2021
Last updated
10/24/2023
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