Individual
STEVEN P HENRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1210 W 4TH ST, NEILLSVILLE, WI 54456-1608
(715) 743-5426
(608) 785-5333
Mailing address
1210 W 4TH ST, NEILLSVILLE, WI 54456-1608
(715) 743-5426
(608) 785-5333
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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