Individual
MARY HEGEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
503 WISCONSIN AVE, SHEBOYGAN, WI 53081-4147
(920) 650-4741
Mailing address
4223 AUTUMN CT APT E206, SHEBOYGAN, WI 53081-1256
(920) 650-4741
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7914226
WI
Other
Enumeration date
06/19/2024
Last updated
07/22/2024
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