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Individual

ERICA E LANCOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1210 FOURIER DR, SUITE #100, MADISON, WI 53717-1969
(608) 662-9327
(608) 662-9041
Mailing address
1210 FOURIER DR, SUITE #100, MADISON, WI 53717-1969
(608) 662-9327
(608) 662-9041

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4789-125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4789-125
LPC LICENSE
WI
Enumeration date
09/14/2012
Last updated
09/14/2012
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