Organization
PATRICIA K BRICENO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA K BRICENO MS, LCSW (OWNER/PSYCHOTHERAPIST)
(414) 962-9909
Entity
Organization
Contact information
Practice address
3970 N OAKLAND AVE, SUITE 502, SHOREWOOD, WI 53211-2265
(414) 962-9909
(414) 332-8596
Mailing address
3970 N OAKLAND AVE, SUITE 502, SHOREWOOD, WI 53211-2265
(414) 962-9909
(414) 332-8596
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1965123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39676000
—
WI
Enumeration date
03/17/2010
Last updated
03/17/2010
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