Individual
JADEN ALYSSA LAEHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N PATRICK BLVD STE 250, BROOKFIELD, WI 53045-5883
(888) 754-0398
Mailing address
S64W18511 TOPAZ DR, MUSKEGO, WI 53150-8525
(414) 748-8899
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WI
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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