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NPI Code Detail

MEDICARE: LAUREN DAMAI LCSW

MEDICARE: LAUREN DAMAI LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker128867-121WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1128867-121OTHERWIWI DSPS

General Provider Information

NPI Number : 1316384126
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN DAMAI LCSW
Provider Business Mailing Address
First Line : 10850 W PARK PL STE 100
Second Line :
City : MILWAUKEE
State : WI
Zip : 53224-3636
Country : US
Telephone Number : 262-789-1191
Fax Number : 414-359-1191
Provider Business Practice Location Address
First Line : 10850 W PARK PL STE 100
Second Line :
City : MILWAUKEE
State : WI
Zip : 53224-3636
Country : US
Telephone Number : 262-789-1191
Fax Number : 414-359-1191
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2013
Last Update Date : 12/18/2024

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Directions to “ LAUREN DAMAI LCSW” Practice Location

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