Individual
VANESSA FREBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 W HISTORIC MITCHELL ST, MILWAUKEE, WI 53204-3383
(414) 383-4455
Mailing address
2630 N 67TH ST, WAUWATOSA, WI 53213-1445
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
131781
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131781
—
WI
Enumeration date
08/04/2020
Last updated
08/04/2020
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