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Individual

ROBERT CHRISTIANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
300 4TH ST N, LA CROSSE, WI 54601-3228
(608) 785-6111
Mailing address
300 4TH ST N, LA CROSSE, WI 54601-3228
(608) 785-6111

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1993120
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42138700
WI
Enumeration date
11/21/2008
Last updated
11/21/2008
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