Provider Demographics
NPI:1972806438
Name:DEMSHAR, LAUREN ROSE (MSW, APSW)
Entity type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:ROSE
Last Name:DEMSHAR
Suffix:
Gender:F
Credentials:MSW, APSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5600 W. BROWN DEER ROAD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:BROWN DEER
Mailing Address - State:WI
Mailing Address - Zip Code:53223
Mailing Address - Country:US
Mailing Address - Phone:414-810-6691
Mailing Address - Fax:186-671-9302
Practice Address - Street 1:5600 W. BROWN DEER ROAD
Practice Address - Street 2:SUITE 110
Practice Address - City:BROWN DEER
Practice Address - State:WI
Practice Address - Zip Code:53223
Practice Address - Country:US
Practice Address - Phone:414-810-6691
Practice Address - Fax:186-671-9302
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-06
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI128232121101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health