Individual
MS. MARY E BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, SAC-IT
Contact information
Practice address
10532 N PORT WASHINGTON RD, MEQUON, WI 53092-5563
(262) 242-3810
(262) 242-3816
Mailing address
10532 N PORT WASHINGTON RD, MEQUON, WI 53092-5563
(262) 242-3810
(262) 242-3816
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16518130
WI
1041C0700X
Clinical Social Worker
Primary
1003-123
WI
Other
Enumeration date
10/18/2011
Last updated
02/24/2012
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