Individual
KRISTEN MAGNUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1407 SAINT ANDREW ST STE 100, LA CROSSE, WI 54603-2378
(715) 743-5430
Mailing address
W5720 MAPLE RD, NEILLSVILLE, WI 54456-7240
(715) 937-5525
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
127867-121
WI
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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