Individual
LAUREN FAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4915 MONONA DR, MONONA, WI 53716-2665
(262) 442-1273
Mailing address
4915 MONONA DR, MONONA, WI 53716-2665
(262) 442-1273
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8421-125
WI
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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