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1194403360
BRIAN JAMES QUICK
OCONOMOWOC, WI
NPI
1194403360
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: WI 11337-125)
Enumeration Date
2023-07-07
Last Update Date
2024-10-07
Business Address
BRIAN JAMES QUICK LPC
405 E FOREST ST
OCONOMOWOC, WI 53066-3707
Phone number: 414-550-2481
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Mailing Address
BRIAN JAMES QUICK LPC
405 E FOREST ST
OCONOMOWOC, WI 53066-3707
Phone number: 414-550-2481
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