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Individual

MRS. PAMELA M HANSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
6815 W CAPITOL DR STE 304, MILWAUKEE, WI 53216-2056
(414) 460-6995
(414) 355-5467
Mailing address
8421 N 102ND CT, MILWAUKEE, WI 53224-2431
(414) 460-6995
(414) 355-5467

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1008-121
WI
1041C0700X
Clinical Social Worker
Primary
9532-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43575900
WI
Enumeration date
04/30/2008
Last updated
07/26/2023
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