Provider Demographics
NPI:1528754652
Name:ALDRIDGE-BROWN, ARETHA (APSW)
Entity type:Individual
Prefix:MRS
First Name:ARETHA
Middle Name:
Last Name:ALDRIDGE-BROWN
Suffix:
Gender:F
Credentials:APSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8565 S GOLDEN FIELDS DR
Mailing Address - Street 2:
Mailing Address - City:OAK CREEK
Mailing Address - State:WI
Mailing Address - Zip Code:53154-3307
Mailing Address - Country:US
Mailing Address - Phone:773-960-0564
Mailing Address - Fax:
Practice Address - Street 1:8565 S GOLDEN FIELDS DR
Practice Address - Street 2:
Practice Address - City:OAK CREEK
Practice Address - State:WI
Practice Address - Zip Code:53154-3307
Practice Address - Country:US
Practice Address - Phone:773-960-0564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-12
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI131406-121104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty