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Individual

REBECCA SUE LAIRD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2800 E ENTERPRISE AVENUE, SUITE 18, APPLETON, WI 54913-7889
(920) 915-3456
(820) 560-4501
Mailing address
2800 E ENTERPRISE AVENUE, SUITE 18, APPLETON, WI 54913-7889
(920) 915-3456
(820) 560-4501

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3584-125
WI
101YP2500X
Professional Counselor
Primary
3584-125
WI

Other

Enumeration date
10/23/2007
Last updated
05/19/2010
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