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Individual

MRS. SARA JEAN LASKOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
3900 W BROWN DEER RD, SUITE 200, BROWN DEER, WI 53209
(414) 540-2170
(414) 540-2171
Mailing address
3900 W BROWN DEER RD, SUITE 200, BROWN DEER, WI 53209
(414) 540-2170
(414) 540-2171

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
320126
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43595500
WI
Enumeration date
10/05/2006
Last updated
07/08/2007
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