Individual
BRENDA R LOVICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MDIV, MA, LMFT
Contact information
Practice address
5900 MONONA DR STE 100, MONONA, WI 53716-3556
(608) 663-0763
(608) 663-0765
Mailing address
5900 MONONA DR STE 100, MONONA, WI 53716-3556
(608) 663-0763
(608) 663-0765
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1116-124
WI
Other
Enumeration date
07/06/2020
Last updated
01/04/2021
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