Individual
BREGETTA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCP
Contact information
Practice address
2222 N MAYFAIR RD, MILWAUKEE, WI 53226-2262
(414) 939-9252
Mailing address
2639 N PALMER ST, MILWAUKEE, WI 53212-2833
(414) 750-0876
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4288-226
WI
Other
Enumeration date
03/02/2019
Last updated
03/02/2019
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