Individual
DR. SEAN DAVIS LAROQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
155 E CAPITOL DR, 5C, HARTLAND, WI 53029-2134
(414) 870-1111
Mailing address
141 N LOCUST ST, OCONOMOWOC, WI 53066-2715
(414) 870-1111
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
86858
WI
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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