| Doctor Name: | DAWN M BRUBAKKEN |
| NPI Number: | 1023313657 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW, SC |
| License Number: | 1078-123 |
| Business Practice Address: | 6300 University Ave Ste 125 Middleton, WI - 535623463 |
| Business Phone Number: | 6082378000 |
| Business Fax Number: | 6082378005 |
| Mailing Address: | 6300 University Ave, Ste 125 MIDDLETON |
| State: | WI |
| Postal Code: | 535623463 |
| Phone Number: | 6082378000 |
| Fax Number: | 6082378005 |
| NPI Enumeration Date: | 01/12/2011 |
| NPI Last Update Date: | 01/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 1078-123 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |