Individual
LAURIE BARTELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1220 DEWEY AVE, WAUWATOSA, WI 53213-2504
(414) 454-6779
Mailing address
1220 DEWEY AVE, WAUWATOSA, WI 53213-2504
(414) 454-6779
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7502-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100043844
—
WI
Enumeration date
04/14/2015
Last updated
12/07/2021
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