DR. THEODORE J LA VAQUE, PH.D.
Social Work at Jefferson St, Green Bay, WI

License number
Wisconsin 997-057
Category
Social Work
Type
Clinical
License number
Wisconsin 2645
Category
Social Work
Type
Clinical
Address
Address
125 S Jefferson St STE 306, Green Bay, WI 54301
Phone
(920) 432-5559
(920) 432-5669 (Fax)
National Provider ID: 1184753139
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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