Individual
BRITTANY GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 S 70TH ST STE 301, WEST ALLIS, WI 53214-3171
(144) 752-7884
Mailing address
6233 39TH AVE, KENOSHA, WI 53142-7015
(262) 654-1004
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4110-57
WI
104100000X
Social Worker
4158-226
WI
Other
Enumeration date
08/31/2021
Last updated
10/26/2022
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