Individual
LAURA S SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 N FRANKLIN ST, PORT WASHINGTON, WI 53074-1901
(262) 365-9825
Mailing address
11520 N PORT WASHINGTON RD STE 101B, MEQUON, WI 53092-3432
(262) 365-9825
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5323-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5323-125
STATE LICENSE, WI
WI
Enumeration date
04/10/2014
Last updated
04/13/2021
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