Individual
LAURA J LUEBKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CSAC
Contact information
Practice address
1622 CHESTNUT ST, WEST BEND, WI 53095-3014
(262) 306-9800
Mailing address
1971 WASHINGTON ST, STE 200, GRAFTON, WI 53024-2102
(262) 377-6276
(262) 377-6289
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15402-132
WI
1041C0700X
Clinical Social Worker
128989-121
WI
1041C0700X
Clinical Social Worker
Primary
8320
WI
Other
Enumeration date
10/21/2010
Last updated
01/09/2019
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