Individual
NICOLE L HEMBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
7633 GANSER WAY, SUITE 204, MADISON, WI 53719-2092
(608) 829-1800
(608) 829-1885
Mailing address
2225 HILLDALE CIR, STOUGHTON, WI 53589-4678
(608) 220-3929
(608) 829-1885
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100005724
—
WI
Enumeration date
05/21/2007
Last updated
03/29/2013
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