Individual
AMANDA LYNN LAEDTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
9000 W WISCONSIN AVE, MS 716, MILWAUKEE, WI 53226-4874
(414) 266-6722
Mailing address
W9938 VIEW RIDGE LN, NEW LONDON, WI 54961-9109
(920) 378-6386
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
15833
WI
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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