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Individual

LAURA ANN OCHTRUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.W.

Contact information

Practice address
11101 W LINCOLN AVE, WEST ALLIS, WI 53227-1133
(414) 203-4469
(414) 328-3737
Mailing address
11101 W LINCOLN AVE, WEST ALLIS, WI 53227-1133
(414) 203-4469
(414) 328-3737

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6985-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1053329581
NPI THROUGH MY EMPLOYER ROGERS MEMORIAL HOSPITAL
05
40928500
WI
Enumeration date
05/05/2008
Last updated
05/05/2008
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