Individual
KAITLYN JEAN LEWISON-HEGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 N 6TH ST, WAUSAU, WI 54403-5519
(262) 339-4886
Mailing address
1636 N 3RD AVE, WAUSAU, WI 54401-1913
(262) 339-4886
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/28/2019
Last updated
12/28/2019
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