Individual
ANN WANSERSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
712 E 2ND ST, MERRILL, WI 54452-2419
(715) 539-8080
(715) 539-8099
Mailing address
712 E SECOND STREET, PO BOX 551, MERRILL, WI 54452-2419
(715) 539-8080
(715) 539-8099
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
424-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39608800
—
WI
Enumeration date
01/30/2007
Last updated
12/31/2014
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