| Laurel Howard-boardman | |
|
W6385 Firelane 8 Menasha WI 54952-9746 | |
| (920) 739-9230 | |
| Not Available |
| Full Name | Laurel Howard-boardman |
|---|---|
| Speciality | Community/behavioral Health |
| Location | W6385 Firelane 8, Menasha, Wisconsin |
| Authorized Official Name and Position | Laurel Howard-boardman (MEMBER) |
| Authorized Official Contact | 9207399230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurel Howard-boardman W6385 Firelane 8 Menasha WI 54952-9746 Ph: (920) 739-9230 | Laurel Howard-boardman W6385 Firelane 8 Menasha WI 54952-9746 Ph: (920) 739-9230 |
| NPI Number | 1962896068 |
|---|---|
| Provider Enumeration Date | 03/26/2015 |
| Last Update Date | 03/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962896068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 7294-123 (Wisconsin) | Primary |
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