Individual
KRISTEN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1508 NEW PINERY RD, PORTAGE, WI 53901-1312
(608) 745-4900
Mailing address
1508 NEW PINERY RD, PORTAGE, WI 53901-1312
(608) 745-4900
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
WI
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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