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Individual

BRENDA J GRULKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
740 N PLANKINTON AVE, SUITE 334, MILWAUKEE, WI 53203-2403
(414) 271-5577
Mailing address
PO BOX 708, BROOKFIELD, WI 53008
(262) 825-3501

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5070-125
WI

Other

Enumeration date
12/18/2006
Last updated
05/20/2016
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