Individual
DR. KIM MARIE GORECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
19275 W CAPITOL DR STE 200, BROOKFIELD, WI 53045-2734
(262) 546-7478
(262) 373-0362
Mailing address
19275 W CAPITOL DR STE 200, BROOKFIELD, WI 53045-2734
(262) 546-7478
(262) 373-0362
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2810-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2810-057
LP
WI
Enumeration date
09/27/2006
Last updated
01/21/2019
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