Individual
PAULINE CAROL BROGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
5168 N SOUTH MAIN ST, WINTER, WI 54896-7736
(715) 661-4359
Mailing address
5168 N SOUTH MAIN ST, WINTER, WI 54896-7736
(715) 661-4359
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5293-226
WI
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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