Individual
CHRISTINE ANNE BAKKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
S.W.
Contact information
Practice address
1407 SAINT ANDREW ST, LA CROSSE, WI 54603-3301
(608) 785-5722
Mailing address
814 EAST AVE N, ONALASKA, WI 54650-2224
(608) 783-8083
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
3994-120
WI
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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