Individual
DR. LAURA KATHLEEN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
122 E OLIN AVE, SUITE 220, MADISON, WI 53713-1487
(608) 255-9119
(608) 255-9219
Mailing address
122 E OLIN AVE, SUITE 220, MADISON, WI 53713-1487
(608) 255-9119
(608) 255-9219
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2982-57
WI
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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