Individual
KRISTEN ANN LAUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1011 N MAYFAIR RD, 304, WAUWATOSA, WI 53226-3431
(414) 453-8380
(414) 443-1635
Mailing address
PO BOX 180680, DELAFIELD, WI 53018-0680
(414) 453-8380
(414) 443-1635
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7088-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40910800
—
WI
Enumeration date
01/05/2007
Last updated
04/17/2020
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