Individual
TIMOTHY F HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
129 6TH ST S, LA CROSSE, WI 54601-4153
(608) 797-6344
Mailing address
224 21ST PL S, LA CROSSE, WI 54601-4235
(608) 797-6344
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7766-123
WI
Other
Enumeration date
03/30/2019
Last updated
03/30/2019
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