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Individual

AUTUMN ROSE VAASSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
16535 W BLUEMOUND RD STE 200, BROOKFIELD, WI 53005-5906
(262) 789-1191
Mailing address
16535 W BLUEMOUND RD STE 200, BROOKFIELD, WI 53005-5906
(608) 732-3613

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11740-123
WI

Other

Enumeration date
06/06/2024
Last updated
10/01/2024
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