| Patricia K Briceno Llc | |
|
3970 N Oakland Ave Suite 502 Shorewood WI 53211-2265 | |
| (414) 962-9909 | |
| (414) 332-8596 |
| Full Name | Patricia K Briceno Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3970 N Oakland Ave, Shorewood, Wisconsin |
| Authorized Official Name and Position | Patricia K Briceno (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 4149629909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia K Briceno Llc 3970 N Oakland Ave Suite 502 Shorewood WI 53211-2265 Ph: (414) 962-9909 | Patricia K Briceno Llc 3970 N Oakland Ave Suite 502 Shorewood WI 53211-2265 Ph: (414) 962-9909 |
| NPI Number | 1417271610 |
|---|---|
| Provider Enumeration Date | 03/17/2010 |
| Last Update Date | 03/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417271610 | NPI | - | NPPES |
| 39676000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1965123 (Wisconsin) | Primary |
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