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1134100068
DAVID E. LACOCQUE
MADISON, WI
NPI
1134100068
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Professional Name
DAVID E. LACOCQUE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WI 2397057)
Enumeration Date
2005-11-08
Last Update Date
2010-03-15
Business Address
Dr. DAVID E. LACOCQUE Psy.D.
222 S BEDFORD ST ISTHMUS PSYCHOTHERAPY, LLC
MADISON, WI 53703-3688
Phone number: 608-256-6570
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Mailing Address
Dr. DAVID E. LACOCQUE Psy.D.
702 N BLACKHAWK AVE SUITE 209
MADISON, WI 53705-3357
Phone number: 608-358-6868
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