Individual
HANNAH DETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, APSW
Contact information
Practice address
2702 INTERNATIONAL LN, MADISON, WI 53704-3117
(608) 405-5712
Mailing address
1337 MOUND ST # 2, MADISON, WI 53715-1537
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
134854121
WI
104100000X
Social Worker
Primary
134584
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100281691
—
WI
Enumeration date
06/10/2024
Last updated
03/18/2025
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