Individual
TIFFANY CLARK BRUETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6815 W CAPITOL DR STE 208, MILWAUKEE, WI 53216-2056
(414) 788-3660
Mailing address
7401 WATSON AVE, WAUWATOSA, WI 53213-1726
(414) 534-7681
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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