Individual
VICTORIA BRUNDAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2515 N 124TH ST, SUITE 101, BROOKFIELD, WI 53005-4675
(262) 641-4347
(262) 641-4350
Mailing address
2515 N 124TH ST, SUITE 101, BROOKFIELD, WI 53005-4675
(262) 641-4347
(262) 641-4350
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7313-123
WI
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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