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Organization
RACLAW LLC
Active
Organization
RACLAW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY RACLAW LPC (OWNER/MEMBER)
(414) 202-0489
Entity
Organization
Contact information
Practice address
N27W23960 PAUL RD STE 5, PEWAUKEE, WI 53072-6327
(414) 367-8070
Mailing address
N27W23960 PAUL RD STE 5, PEWAUKEE, WI 53072-6327
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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