Individual
WILLIAM DAVID LAAKSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
700 N ADAMS ST, GREEN BAY, WI 54301-5145
(920) 433-6993
Mailing address
1211 LIVINGSTON ST, GREEN BAY, WI 54311-5547
(920) 468-0726
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1890-057
WI
103TC0700X
Clinical Psychologist
20040485A
IN
Other
Enumeration date
04/08/2007
Last updated
07/08/2007
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