Individual
LAURI FLICK-HARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2717 N GRANDVIEW BLVD, #111, WAUKESHA, WI 53188-1672
(262) 544-4540
Mailing address
2717 N GRANDVIEW BLVD, #111, WAUKESHA, WI 53188-1672
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1001-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001-125
STATE OF WISC LICENSE
WI
Enumeration date
09/20/2006
Last updated
12/11/2008
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