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1265581201
BRETT JOHN BROCKWAY
WAUKESHA, WI
NPI
1265581201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2007-01-09
Last Update Date
2007-07-08
Business Address
-- BRETT JOHN BROCKWAY M.S.
1501 AIRPORT RD
WAUKESHA, WI 53188-2461
Phone number: 262-548-7947
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Mailing Address
-- BRETT JOHN BROCKWAY M.S.
N26W26817 PROSPECT AVE
PEWAUKEE, WI 53072-4515
Phone number: 262-695-1450
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