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Individual

DEAN LAWRENCE HARPT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW, LPC

Contact information

Practice address
3853 COUNTY ROAD B, PULASKI, WI 54162-9717
(920) 000-0000
Mailing address
3853 COUNTY ROAD B, PULASKI, WI 54162-9717

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1378-125
WI
1041C0700X
Clinical Social Worker
Primary
3376-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39680500
WI
Enumeration date
10/04/2006
Last updated
07/02/2014
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