Individual
LAWRENCE VERNON DULEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RADC I
Contact information
Practice address
9415 WEST FOREST HOME AVENUE, SUITE #108, HALES CORNERS, WI 53130-1680
(414) 427-4884
(414) 427-4889
Mailing address
4555 WEST SCHROEDER DRIVE, SUITE 170, MILWAUKEE, WI 53223
(414) 365-3210
(414) 365-3225
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13822
WI
Other
Enumeration date
07/27/2006
Last updated
03/27/2008
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