Individual
LENORE DELOUGHERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
E1475 OWENS DR., LA VALLE, WI 53941-9529
(608) 985-7187
(608) 985-8187
Mailing address
E1475 OWENS DR., LA VALLE, WI 53941-9529
(608) 985-7187
(608) 985-8187
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1171-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39225500
—
WI
Enumeration date
02/12/2007
Last updated
07/09/2007
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