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Individual

DANIEL E HERMSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
W231 N1440 CORPORATE COURT, SUITE 310, WAUKESHA, WI 53186-1301
(282) 896-6186
(262) 896-6139
Mailing address
W231 N1440 CORPORATE COURT, SUITE 310, WAUKESHA, WI 53186-1303
(262) 896-6186
(262) 896-6139

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11162
WI
1041C0700X
Clinical Social Worker
Primary
3457
WI
1041C0700X
Clinical Social Worker
3457-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39385700
WI
Enumeration date
12/12/2006
Last updated
08/09/2012
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