Individual
MS. KATHLEEN ETHEL BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LMFT
Contact information
Practice address
1220 DEWEY AVE, BLDG 2, WAUWATOSA, WI 53213
(414) 454-6500
(414) 454-6527
Mailing address
1220 DEWEY AVE, WAUWATOSA, WI 53213-2504
(414) 647-6326
(414) 671-8860
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3593-123
WI
101Y00000X
Counselor
417-124
WI
1041C0700X
Clinical Social Worker
Primary
3593
WI
106H00000X
Marriage & Family Therapist
417
WI
Other
Enumeration date
08/05/2006
Last updated
12/01/2014
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