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Individual

BRIANNE LEIGH FORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
W177N9886 RIVERCREST DR STE 104, GERMANTOWN, WI 53022-6407
(262) 784-1121
Mailing address
13035 W BLUEMOUND RD STE 100, BROOKFIELD, WI 53005-8001
(262) 784-1121

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
7334-226
WI

Other

Enumeration date
12/09/2021
Last updated
05/26/2023
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