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Individual

LAURELLE A RATHKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
127 N FRANKLIN ST, PORT WASHINGTON, WI 53074-1947
(262) 235-4385
(414) 310-0377
Mailing address
127 N FRANKLIN ST, PORT WASHINGTON, WI 53074-1947
(262) 235-4385
(414) 310-0377

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10601-125
WI
104100000X
Social Worker
Primary
1097-121
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1097-121
WI LICENSE
WI
Enumeration date
10/13/2014
Last updated
04/23/2026
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