Individual
GENOA HARTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 E ENTERPRISE AVE STE 333, APPLETON, WI 54913-7889
(443) 805-8677
Mailing address
902 GOODMAN CT N, SPARTA, WI 54656-1011
(443) 805-8677
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2382124
WI
Other
Enumeration date
03/08/2024
Last updated
08/26/2025
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