Individual
CHARLES F LAWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LMFT
Contact information
Practice address
1126 S. 70TH STREET, SUITE S-507, WEST ALLIS, WI 53214
(414) 727-2789
(414) 476-8695
Mailing address
1126 S. 70TH STREET, SUITE S-507, WEST ALLIS, WI 53214
(414) 727-2789
(414) 476-8695
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
708-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40969000
—
WI
Enumeration date
11/01/2006
Last updated
09/25/2007
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