Brundage, Victoria
Brundage, Victoria is an individual health care provider with primary practice located at 2515 N 124Th St Suite 101, Brookfield WI 53005-4675. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brundage, Victoria can be contacted via phone (262) 641-4347.Contact Information
Primary practice address
2515 N 124Th St Suite 101
Brookfield WI 53005-4675
Phone: (262) 641-4347
Fax: (262) 641-4350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 7313-123 | Wisconsin |
Profile Details
| NPI number | 1689716862 |
|---|---|
| LBN Legal business name | Brundage, Victoria |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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