Individual
MRS. LAURINDA S WITTENHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
380 S TOWNLINE RD, WAUTOMA, WI 54982-6900
(920) 787-6550
(920) 787-0421
Mailing address
380 S TOWNLINE RD, WAUTOMA, WI 54982-6900
(920) 787-6550
(920) 787-0421
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9164
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023466554
—
WI
Enumeration date
05/25/2016
Last updated
07/14/2025
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