Individual
BLAIRE MARIE HYSJULIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2222 E 5TH ST, SUPERIOR, WI 54880-3709
(715) 395-5393
(715) 392-1935
Mailing address
2222 E 5TH ST, SUPERIOR, WI 54880-3709
(715) 395-5393
(715) 392-1935
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
22426
MN
1041C0700X
Clinical Social Worker
Primary
8612
WI
Other
Enumeration date
07/18/2016
Last updated
07/26/2022
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