Individual
LAURA RAICU PRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4597
(920) 929-2300
Mailing address
1808 W BELTLINE HWY, SSM HEALTH FDL REGIONAL CLINIC, MADISON, WI 53713-2334
(920) 926-8343
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4157-57
WI
Other
Enumeration date
06/13/2019
Last updated
07/11/2023
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