Individual
MS. JENNIFER ROSE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1053 WILLIAMSON ST, MADISON, WI 53703-3525
(608) 698-5634
Mailing address
1053 WILLIAMSON ST, MADISON, WI 53703-3525
(608) 698-5634
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
11382
WI
1041C0700X
Clinical Social Worker
Primary
127646-121
WI
Other
Enumeration date
11/10/2008
Last updated
10/17/2023
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