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Individual

MRS. KRISTA A RASMUSSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APSW

Contact information

Practice address
301 TROY DR, COTTAGE B, MADISON, WI 53704-1521
(608) 663-5912
Mailing address
1008 KINGS LYNN RD, STOUGHTON, WI 53589-4925
(608) 205-2488

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
126536-121
WI
1041S0200X
School Social Worker
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43712600
WI
Enumeration date
05/20/2008
Last updated
05/20/2008
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