Individual
CHERYL BROST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1 W GENEVA ST, ELKHORN, WI 53121-1722
(262) 723-3424
Mailing address
W5595 OAK BLUFFS RD, FONTANA, WI 53125-1180
(262) 275-6954
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4790-125
WI
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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