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Gorecki Psychological Services LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) in Brookfield, WI. Organization (NPI-2).

NPI number1083170732
StatusActive
Last updated in NPPESFeb 19, 2019

Details

NPI
1083170732
Entity type
Organization (NPI-2)
Legal business name
Gorecki Psychological Services LLC
Organization subpart
No
Enumeration date
Feb 19, 2019
Last updated
Feb 19, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

19275 W Capitol Dr Ste 200
Brookfield, WI 53045-2734

Phone 262-546-7478 · Fax 262-373-0362

Mailing address

19275 W Capitol Dr Ste 200
Brookfield, WI 53045-2734

Phone 262-546-7478 · Fax 262-373-0362

Authorized official

Kim Marie Gorecki
Owner/Clinical Psychologist
2625467478

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