Individual
PETER T LAUBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, CADC
Contact information
Practice address
1002 LINCOLN AVE, BARABOO, WI 53913-1808
(608) 356-9055
(608) 356-5447
Mailing address
1002 LINCOLN AVE, BARABOO, WI 53913-1808
(608) 356-9055
(608) 356-5447
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
885-123
WI
1041C0700X
Clinical Social Worker
885-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39227400
—
WI
Enumeration date
07/31/2006
Last updated
05/21/2015
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