Individual
DALE HILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4109 67TH ST, KENOSHA, WI 53142-3836
(262) 652-9830
Mailing address
221 GLENWOOD RD, OCONOMOWOC, WI 53066-4240
(262) 443-3751
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/13/2008
Last updated
10/13/2008
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