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Individual

BROOKE MARIE MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, R-DMT

Contact information

Practice address
700 W VIRGINIA ST STE 204, MILWAUKEE, WI 53204-1549
(414) 207-4565
(414) 348-0206
Mailing address
3202 N 52ND ST, MILWAUKEE, WI 53216-3242
(715) 892-2852

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10789-125
WI
101YP2500X
Professional Counselor
Primary
10789-125
WI
225600000X
Dance Therapist
2399
WI

Other

Enumeration date
10/08/2020
Last updated
04/20/2026
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