Organization
MAPLE TREE WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAUREN GOURLEY LCSW (THERAPIST)
(608) 466-6411
Entity
Organization
Contact information
Practice address
205 5TH AVE S STE 306, LA CROSSE, WI 54601-4059
(608) 466-6411
(608) 572-7737
Mailing address
2920 EAST AVE S STE 101, LA CROSSE, WI 54601-8282
(608) 466-6411
(608) 572-7737
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8384-123
WI
Other
Enumeration date
09/20/2016
Last updated
08/08/2022
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