Brill, Mary J
Brill, Mary J is an individual health care provider with primary practice located at 4433 N Oakland Ave Suite D, Shorewood WI 53211-1600. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Brill, Mary J can be contacted via phone (414) 906-1445.Contact Information
Primary practice address
4433 N Oakland Ave Suite D
Shorewood WI 53211-1600
Phone: (414) 906-1445
Fax: (414) 906-1445
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 3677-123 | Wisconsin |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3677123 | Wisconsin |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 24293 | California |
Profile Details
| NPI number | 1144289588 |
|---|---|
| LBN Legal business name | Brill, Mary J |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Nov 14th, 2014 - about 12 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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