Individual
LYNN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6416 S HOWELL AVE, OAK CREEK, WI 53154-1104
(414) 762-5429
Mailing address
285 N JANACEK RD, BROOKFIELD, WI 53045-6102
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7195-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40978300
—
WI
Enumeration date
07/19/2006
Last updated
01/04/2008
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