Individual
MARY HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC-IT
Contact information
Practice address
1219 N CASS ST, MILWAUKEE, WI 53202-2770
(414) 291-9487
Mailing address
1219 N CASS ST, MILWAUKEE, WI 53202-2770
(414) 291-9487
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9556226
WI
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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