Individual
BRIAN NORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
246 INDUSTRIAL BLVD, SHELL LAKE, WI 54871-8889
(715) 468-2841
(715) 468-2374
Mailing address
117 S LAKE DR, SHELL LAKE, WI 54871-7860
(715) 416-0414
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1427-125
WI
104100000X
Social Worker
504-122
WI
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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