Individual
JESSICA LAUREN BRADWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, ATR, LMT
Contact information
Practice address
2230 S KINNICKINNIC AVE, MILWAUKEE, WI 53207-1330
(414) 758-4643
Mailing address
2249 S WOODWARD ST, MILWAUKEE, WI 53207-1315
(414) 758-4643
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6563-125
WI
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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