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Laura Renee Maki, SAC-IT

Counselor, Addiction (Substance Use Disorder) in Sheboygan, WI. Individual provider (NPI-1).

NPI number1366972788
StatusActive
Last updated in NPPESJun 18, 2017

Details

NPI
1366972788
Entity type
Individual (NPI-1)
Name
Laura Renee Maki
Credential
SAC-IT
Sex
Female
Sole proprietor
No
Enumeration date
Jun 18, 2017
Last updated
Jun 18, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)17782-130WIYes

Practice location

2842 S Business Dr
Sheboygan, WI 53081-6518

Phone 920-264-0390

Mailing address

925 N 12th St
Manitowoc, WI 54220-3206

Phone 920-973-8585

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