Individual
ALISSA HANNAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
417 12TH ST, BARABOO, WI 53913-1429
(218) 398-2960
Mailing address
417 12TH ST, BARABOO, WI 53913-1429
(218) 398-2960
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8666-123
WI
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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