Individual
ELIZABETH ANN LAURILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1500 W MARKET ST, MEQUON, WI 53092-5098
(262) 241-5955
Mailing address
1500 W MARKET ST, MEQUON, WI 53092-5098
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11702-123
WI
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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