Individual
MRS. AUDRA JANEL O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT-IT
Contact information
Practice address
4001 W CAPITOL DR, MILWAUKEE, WI 53216-2530
(414) 810-6691
(866) 719-3024
Mailing address
4001 W CAPITOL DR, MILWAUKEE, WI 53216-2530
(262) 388-0366
(866) 719-3024
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
473-228
WI
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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