Individual
MS. CHARLENE INGRID VANGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1407 SAINT ANDREW ST, SUITE 100, LA CROSSE, WI 54603-3301
(608) 785-6266
Mailing address
W5231 BIRCHWOOD LN, LA CROSSE, WI 54601-2451
(608) 788-0711
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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