Individual
LAUREN E DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
7818 BIG SKY DR, 101, MADISON, WI 53719-3524
(608) 203-6267
Mailing address
1939 FAIRVIEW DR, BELOIT, WI 53511-2804
(608) 449-1114
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1205-124
WI
106H00000X
Marriage & Family Therapist
499-228
WI
Other
Enumeration date
05/04/2016
Last updated
10/18/2018
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