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NPI 1134591092

NPI 1134591092 : JENNIFER BRAU LCSW : KANSASVILLE, WI

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General NPI Number Information
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    NPI Number           |    1134591092
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    Entity Type          |    Individual 
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    Provider Name        |    JENNIFER BRAU LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/30/2015
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    Last Update Date     |    01/14/2026
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Provider Practice Location Address
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    Address Line         |    22130 SCHROEDER RD 
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    City                 |    KANSASVILLE
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    State                |    WI
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    Zip                  |    53139-9501
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    Country              |    US
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    Telephone            |    262-672-2088
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    22130 SCHROEDER RD 
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    City                 |    KANSASVILLE
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    State                |    WI
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    Zip                  |    53139-9501
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    Country              |    US
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    Telephone            |    262-672-2088
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    2026000510
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    License Number State |    MO
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    34012599A
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    License Number State |    IN
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Taxonomy #3
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    6801119788
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    License Number State |    MI
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Taxonomy #4
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    17974-130
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    License Number State |    WI
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Taxonomy #5
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    149028663
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    License Number State |    IL
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Taxonomy #6
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    8480-123
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    License Number State |    WI
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