Individual
MRS. LAURA MARIE LIEBENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
634 W HISTORIC MITCHELL ST, MILWAUKEE, WI 53204-3512
(414) 383-4486
(414) 383-4522
Mailing address
634 W HISTORIC MITCHELL ST, MILWAUKEE, WI 53204-3512
(414) 383-4486
(414) 383-4522
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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