Individual
MARY S CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
339 REED AVE, MANITOWOC, WI 54220-2020
(920) 320-8600
(920) 320-8662
Mailing address
PO BOX 2290, MANITOWOC, WI 54221-2290
(920) 320-8600
(920) 320-8662
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1113-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13646
NETWORK HEALTH PLAN
—
05
—
39278700
—
WI
01
—
R76665
CIGNA
—
Enumeration date
07/20/2006
Last updated
06/03/2008
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