Individual
KARISSA LYN BORNEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(715) 471-0101
Mailing address
3535 N HARMONY TOWN HALL RD, JANESVILLE, WI 53546-9605
(715) 471-0101
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
132574-121
WI
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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