Individual
BREANNA BRENNECKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1821 S STOUGHTON RD, MADISON, WI 53716-2257
(608) 260-6000
(608) 260-6906
Mailing address
818 N STAR DR APT 315, MADISON, WI 53718-3011
(715) 219-1211
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5152-154
WI
Other
Enumeration date
12/09/2020
Last updated
01/26/2022
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