Individual
LAURIE ELLEN MOECKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW-CISW
Contact information
Practice address
6040 W LISBON AVE, SUITE 102, MILWAUKEE, WI 53210-2116
(414) 871-9111
(414) 871-9121
Mailing address
7383 N BRAEBURN LN, GLENDALE, WI 53209-2013
(414) 405-3433
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
81-122
WI
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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