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Individual

ANNA J HETTERMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
4003 80TH ST STE 101, KENOSHA, WI 53142-4995
(262) 806-1467
(262) 661-7702
Mailing address
4003 80TH ST STE 101, KENOSHA, WI 53142-4995
(262) 806-1467
(262) 661-7702

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7717-125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1598390569
WI
Enumeration date
03/10/2020
Last updated
03/27/2023
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