Individual
BRIAN PATRICK DUFFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
5500 8TH AVE, KENOSHA, WI 53140-3700
(262) 564-0067
(262) 652-1411
Mailing address
5500 8TH AVE, KENOSHA, WI 53140-3700
(262) 564-0067
(262) 652-1411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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