Individual
KATHERINE ANN BRUECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SLP
Contact information
Practice address
2727 W MITCHELL ST, MILWAUKEE, WI 53215-2259
(414) 383-4039
(414) 383-3866
Mailing address
1225 S SUNNY SLOPE RD, BROOKFIELD, WI 53005-7042
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2424-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42799600
—
WI
Enumeration date
05/10/2007
Last updated
07/08/2007
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