Individual
LAURA L. DEMETRICIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
626 E LONGVIEW DR STE B, APPLETON, WI 54911
(920) 214-3907
Mailing address
626 E LONGVIEW DR STE B, APPLETON, WI 54911-2149
(920) 214-3907
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
979-124
WI
Other
Enumeration date
05/01/2009
Last updated
12/03/2018
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