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Individual

JASMINE BRISBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1111 S 6TH ST, MILWAUKEE, WI 53204-2301
(414) 649-1940
Mailing address
1111 S 6TH ST, MILWAUKEE, WI 53204-2301
(414) 649-1940

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17164-130
WI

Other

Enumeration date
08/21/2014
Last updated
08/21/2014
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