Individual
ELAINE MARLENE KUBICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 S MOORLAND RD STE 403, BROOKFIELD, WI 53005-6945
(262) 786-0411
(262) 786-9954
Mailing address
4245 S WILSHIRE DR, NEW BERLIN, WI 53151-6217
(262) 786-0888
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
887-125
WI
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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