Individual
SHELLY L BRUDNICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
905 E MEINECKE AVE APT C, MILWAUKEE, WI 53212-3415
(414) 750-7576
Mailing address
905 E MEINECKE AVE APT C, MILWAUKEE, WI 53212-3415
(414) 750-7576
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19021
WI
1041C0700X
Clinical Social Worker
Primary
9882-123
WI
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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