Individual
MRS. KELLY M BROCKWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1501 AIRPORT RD, WAUKESHA, WI 53188-2461
(262) 548-7970
Mailing address
1501 AIRPORT RD, WAUKESHA, WI 53188-2461
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1869-120
WI
Other
Enumeration date
12/12/2006
Last updated
03/16/2009
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