Kaitlyn Laurie, S.c | |
6320 Monona Dr Monona WI 53716-3952 | |
(608) 235-3546 | |
Not Available |
Full Name | Kaitlyn Laurie, S.c |
---|---|
Speciality | Counselor - Mental Health |
Location | 6320 Monona Dr, Monona, Wisconsin |
Authorized Official Name and Position | Kaitlyn Laurie (OWNER) |
Authorized Official Contact | 6052353546 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kaitlyn Laurie, S.c 6320 Monona Dr Monona WI 53716-3952 Ph: (608) 235-3546 | Kaitlyn Laurie, S.c 6320 Monona Dr Monona WI 53716-3952 Ph: (608) 235-3546 |
NPI Number | 1033409677 |
---|---|
Provider Enumeration Date | 04/17/2011 |
Last Update Date | 04/17/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033409677 | NPI | - | NPPES |
42221000 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 1915125 (Wisconsin) | Primary |
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