Individual
ERICA BRANDAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W
Contact information
Practice address
W8124 FOREST DR, ONALASKA, WI 54650-9739
(608) 385-4089
Mailing address
W8124 FOREST DR, ONALASKA, WI 54650-9739
(608) 385-4089
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
127429-121
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127429-121
STATE OF WISCONSIN LICENSE
WI
Enumeration date
02/03/2012
Last updated
02/03/2012
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