Brazeal LLC
NPI #1184309668 in Burlington, Wisconsin
Provider Information
- NPI Number
- 1184309668
- Entity Type
- Organization
- Organization Name
- Brazeal LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Jun 21, 2023
- Last Updated
- Jun 21, 2023
Practice Location
- Address
- 197 W CHESTNUT ST
- City
- Burlington
- State
- Wisconsin
- ZIP Code
- 53105-1200
- Phone
- (520) 236-3343
Authorized Official
- Name
- MICHAEL BRAZEAL
- Title
- STUDENT INTERN
- Phone
- (520) 236-3343
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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