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Individual

FAE BABETTE LAFORTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MFT

Contact information

Practice address
1316 E PROSPECT ST, DURAND, WI 54736-1517
(715) 672-3746
Mailing address
N7471 537TH ST, MENOMONIE, WI 54751-5904
(715) 672-3746

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
634-228
WI

Other

Enumeration date
04/25/2018
Last updated
04/25/2018
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