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Individual

ROBERT E HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
212 11TH AVENUE S., LA CROSSE, WI 54601-4116
(608) 392-9555
(608) 392-9432
Mailing address
212 11TH AVENUE S., LA CROSSE, WI 54601-4116
(608) 392-9555
(608) 392-9898

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
127170
WI
1041C0700X
Clinical Social Worker
Primary
7736-123
WI

Other

Enumeration date
12/28/2006
Last updated
06/05/2012
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