Individual
LAURA RENEE MAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
2842 S BUSINESS DR, SHEBOYGAN, WI 53081-6518
(920) 264-0390
Mailing address
925 N 12TH ST, MANITOWOC, WI 54220-3206
(920) 973-8585
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17782-130
WI
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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