| 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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