Individual
MS. LAURA CAROL CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LCSW
Contact information
Practice address
1321 N MAIN ST, VIROQUA, WI 54665-1156
(608) 637-7052
(608) 637-8500
Mailing address
1707 MAIN ST, LA CROSSE, WI 54601-4200
(608) 785-0001
(608) 785-0002
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CC00052
MN
104100000X
Social Worker
Primary
4041-123
WI
Other
Enumeration date
11/01/2006
Last updated
12/04/2012
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