Individual
LAURA DALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 BROADWAY ST FL 4, BARABOO, WI 53913-2183
(608) 355-4216
Mailing address
PO BOX 29, BARABOO, WI 53913-0029
(608) 355-4216
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000000000
WI
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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