Individual
BRANDIE LEIGH TETZLAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.S.W, L.C.S.W
Contact information
Practice address
890 ELM GROVE RD STE 203, ELM GROVE, WI 53122-2528
(262) 719-2975
Mailing address
890 ELM GROVE RD STE 203, ELM GROVE, WI 53122-2528
(262) 719-2975
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7139-123
WI
Other
Enumeration date
07/19/2008
Last updated
11/11/2024
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