Organization
CAROL L FLANARY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL FLANARY MS, LPC (OWNER MEMBER)
(414) 339-5559
Entity
Organization
Contact information
Practice address
12645 W BURLEIGH RD, SUITE 20, BROOKFIELD, WI 53005-3102
(414) 339-5559
Mailing address
12645 W BURLEIGH RD, SUITE 20, BROOKFIELD, WI 53005-3102
(414) 339-5559
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144487844
—
WI
Enumeration date
05/27/2014
Last updated
05/27/2014
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