Individual
DUANNE LAFRENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
101 BROAD ST, SUITE 201, LAKE GENEVA, WI 53147-2000
(262) 248-7942
Mailing address
101 BROAD ST, SUITE 201, LAKE GENEVA, WI 53147-2000
(262) 248-7942
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39509900
—
WI
Enumeration date
07/01/2006
Last updated
04/15/2013
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