Male or Other

Jeremy Avner LCSW

Clinical Social Worker in Brookfield, WI(View on Map)

Full Name

Jeremy Avner LCSW

NPI Number

1306435508

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/12/2021

Specialties

(Taxonomies)

Code

1041C0700X
104100000X

Primary Taxonomy

Yes
No

Licenses

State

Wisconsin

License Number

9119-123

Contact
Information

Purpose

Mailing
Location

Address

16535 W BLUEMOUND RD STE 200
16535 W BLUEMOUND RD

City

Brookfield
Brookfield

State

WI
WI

Postal Code

53005-5906
53005-5936

Country

US
US

Telephone Number

(414) 477-9517
(262) 999-3495

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/11/2024

Provider Address

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