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Individual

WALTER LAUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9401 W BELOIT RD STE 314, WEST ALLIS, WI 53227-4357
(414) 539-4862
(414) 240-0761
Mailing address
600 W VIRGINIA ST, STE 203, MILWAUKEE, WI 53204-1500
(414) 831-4500
(414) 255-3451

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15918-132
WI
101YP2500X
Professional Counselor
Primary
449689
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100026878
WI
Enumeration date
10/01/2012
Last updated
09/17/2019
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