Individual
MARILYN BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
130 E WALNUT ST, SUITE 706, GREEN BAY, WI 54301-4239
(920) 437-8256
(920) 437-1188
Mailing address
130 E WALNUT ST, SUITE 706, GREEN BAY, WI 54301-4239
(920) 437-8256
(920) 437-1188
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6666
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39740800
—
WI
Enumeration date
01/19/2007
Last updated
11/17/2015
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