Individual
LAURA MARIE MENGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CAPSW
Contact information
Practice address
5363 BALLYDUFF ST, FITCHBURG, WI 53711-7679
(920) 960-9352
Mailing address
5363 BALLYDUFF ST, FITCHBURG, WI 53711-7679
(920) 960-9352
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
16154132
—
104100000X
Social Worker
131368
WI
1041C0700X
Clinical Social Worker
Primary
9902-123
WI
Other
Enumeration date
06/28/2018
Last updated
05/17/2026
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