Individual
KRISTEN M ESBENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CICSW LCSW
Contact information
Practice address
2727 MARSHALL CT, MADISON, WI 53705-2255
(608) 238-9354
(608) 204-3930
Mailing address
2727 MARSHALL CT, MADISON, WI 53705-2255
(608) 238-9354
(608) 204-3930
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3257123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39616200
—
WI
Enumeration date
05/11/2006
Last updated
11/10/2011
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