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BREA ANN QUADRACCI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2333 NORTHWESTERN AVE, RACINE, WI 53404-2520
(262) 638-2000
Mailing address
6233 39TH AVE, KENOSHA, WI 53142-7015
(262) 654-1004

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
7234
WI
101YP2500X
Professional Counselor
Primary
11383-125
WI

Other

Enumeration date
02/03/2023
Last updated
10/29/2024
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