Individual
LAURIE KURTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 N BALLARD RD STE B, APPLETON, WI 54911-9002
(920) 753-8816
Mailing address
728 TAYCO ST, MENASHA, WI 54952-2280
(920) 830-9420
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18373-130
WI
Other
Enumeration date
06/03/2018
Last updated
06/03/2018
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