Provider Demographics
NPI:1740822055
Name:FLUNKER, LAUREN MAE (APSW)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:MAE
Last Name:FLUNKER
Suffix:
Gender:F
Credentials:APSW
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:MAE
Other - Last Name:KNOPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:E7475 RAWHIDE RD
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:WI
Mailing Address - Zip Code:54961
Mailing Address - Country:US
Mailing Address - Phone:920-531-2652
Mailing Address - Fax:920-982-5040
Practice Address - Street 1:E7475 RAWHIDE RD
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:WI
Practice Address - Zip Code:54961
Practice Address - Country:US
Practice Address - Phone:920-531-2652
Practice Address - Fax:920-982-5040
Is Sole Proprietor?:No
Enumeration Date:2019-10-09
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI129911-1211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical