Individual
BROOKE NICOLE THORSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
620 S 76TH ST STE 240, MILWAUKEE, WI 53214-1599
(414) 292-4242
Mailing address
620 S 76TH ST STE 240, MILWAUKEE, WI 53214-1599
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8407-125
WI
Other
Enumeration date
05/19/2020
Last updated
01/18/2022
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