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Individual

LISA PAULSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
300 CROOKS STREET, GREEN BAY, WI 54301
(920) 436-6800
(920) 432-5966
Mailing address
PO BOX 22308, 300 CROOKS STREET, GREEN BAY, WI 54305-2308
(920) 436-6800
(920) 432-5966

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6727-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39779100
WI
Enumeration date
10/04/2006
Last updated
04/22/2009
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