Individual
MRS. LAURA NG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2222 S 114TH ST, MILWAUKEE, WI 53227-1031
(414) 449-4444
Mailing address
2222 S 114TH ST, MILWAUKEE, WI 53227-1031
(414) 449-4444
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
69-140
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41209100
—
WI
Enumeration date
05/03/2011
Last updated
11/13/2013
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