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Individual

LAURA A DICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
9576 HWY 70, MINOCQUA, WI 54548-9067
(715) 358-1000
Mailing address
9576 HWY 70, MINOCQUA, WI 54548-9067
(715) 358-1000

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4647
CO
101YP2500X
Professional Counselor
103082
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36323365
CO
Enumeration date
04/11/2008
Last updated
09/25/2025
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