Bruyette, Mandie Lynn

Bruyette, Mandie Lynn is an individual health care provider with primary practice located at 10012 W Capitol Dr , Milwaukee WI 53222-1338. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Bruyette, Mandie Lynn can be contacted via phone (414) 810-4844.

Contact Information

Primary practice address
10012 W Capitol Dr Milwaukee WI 53222-1338
Phone: (414) 810-4844
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 16622-131 Wisconsin
Behavioral Health & Social Service Providers / Social Worker 104100000X 132882-121 Wisconsin

Profile Details

NPI number 1114687407
LBN Legal business name Bruyette, Mandie Lynn
Credentials SAC, APSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2021
Last updated Oct 3rd, 2023 - about 3 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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