KIM L LASECKI

GREEN BAY, WI
NPI1235114513
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: WI  2448)
Enumeration Date2005-12-09
Last Update Date2007-07-08
Business Address
-- KIM L LASECKI PhD
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301-2241
Phone number: 920-433-6073
Mailing Address
-- KIM L LASECKI PhD
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301-2241
Phone number: 920-433-6073
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