Individual
DR. LAURA ANNE TEOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 S PATERSON ST STE 1A, MADISON, WI 53703-4534
(608) 571-0558
(608) 807-5675
Mailing address
303 S PATERSON ST STE 1A, MADISON, WI 53703-4534
(608) 571-0558
(608) 807-5675
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5075
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5075
WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
WI
Enumeration date
07/24/2020
Last updated
07/24/2020
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