Individual
NICOLA BRODLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
W138N7356 MELVILLE DR, MENOMONEE FALLS, WI 53051-4612
(414) 915-1813
Mailing address
W138N7356 MELVILLE DR, MENOMONEE FALLS, WI 53051-4612
(414) 915-1813
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10339-120
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10339-120
STATE OF WISCONSIN
WI
Enumeration date
02/12/2014
Last updated
02/12/2014
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