Individual
MARIA BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, ATR
Contact information
Practice address
12690 W NORTH AVE, BROOKFIELD, WI 53005-4636
(262) 785-9188
Mailing address
12690 W NORTH AVE, BROOKFIELD, WI 53005-4636
(262) 785-9188
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5693-125
WI
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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