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Individual

LAURA KIM DOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
5310 WALL ST., SUITE 500, MADISON, WI 53718
(608) 274-8294
(608) 274-8783
Mailing address
5310 WALL ST., SUITE 500, MADISON, WI 53718
(608) 274-8294
(608) 274-8783

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
10/04/2010
Last updated
10/04/2010
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