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Individual

BROOKLYN DACHELET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, CAPSW

Contact information

Practice address
2851 UNIVERSITY AVE, GREEN BAY, WI 54311-5855
(920) 431-2500
Mailing address
2851 UNIVERSITY AVE, GREEN BAY, WI 54311-5855
(920) 431-2500

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
130629-121
WI

Other

Enumeration date
06/17/2024
Last updated
06/17/2024
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