Individual
MRS. LAUREN ANNE SOCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7736 29TH AVE, KENOSHA, WI 53143-5628
(262) 515-0767
Mailing address
7736 29TH AVE, KENOSHA, WI 53143-5628
(262) 515-0767
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
S200521883505
WI
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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