Individual
LAURA LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT-T
Contact information
Practice address
2961 YARMOUTH GREENWAY DR STE 2, FITCHBURG, WI 53711-5809
(608) 515-8494
Mailing address
2961 YARMOUTH GREENWAY DR STE 2, FITCHBURG, WI 53711-5809
(608) 515-8494
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
697-228
WI
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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