Laura Jean Detert
NPI #1194431452 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1194431452
- Entity Type
- Individual
- Name
- Laura Jean Detert
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jan 30, 2023
- Last Updated
- Jan 30, 2023
Practice Location
- Address
- 122 WARNER ST
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935-3964
- Phone
- (920) 924-0697
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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