Individual
MRS. DELORA V PUTNAM-BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR-BC
Contact information
Practice address
7646 N TEUTONIA AVE, BROWN DEER, WI 53209-1736
(414) 797-2155
(414) 797-2156
Mailing address
4225 N 16TH ST, MILWAUKEE, WI 53209-6922
(414) 262-6969
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
14-304
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14-3062691
ART THERAPY HOUSE, INC
WI
Enumeration date
05/11/2021
Last updated
05/11/2021
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