Individual
MRS. STEPHANIE HAMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
258 RIVERSIDE DR, RIVER FALLS, WI 54022-3236
(715) 425-7031
(715) 425-1055
Mailing address
PO BOX 425, 258 RIVERSIDE DRIVE, RIVER FALLS, WI 54022-0425
(715) 425-7031
(715) 425-1055
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
822-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19G69HA
BCBS OF MN
MN
05
—
39232100
—
WI
Enumeration date
08/30/2006
Last updated
07/09/2007
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