Individual
BRENDA K GOETTL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW, CADC III
Contact information
Practice address
2661 COUNTY HIGHWAY I, CHIPPEWA FALLS, WI 54729-5407
(715) 723-5585
(715) 726-3504
Mailing address
6374 164TH ST, CHIPPEWA FALLS, WI 54729-8088
(715) 726-8658
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39170800
—
WI
Enumeration date
12/19/2006
Last updated
07/08/2007
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