Individual
ALICIA HANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
21 N PORTLAND ST STE 2B, FOND DU LAC, WI 54935-3465
(920) 630-1324
(920) 479-2870
Mailing address
21 N PORTLAND ST STE 2B, FOND DU LAC, WI 54935-3465
(920) 630-1324
(920) 479-2870
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8651-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100080618
—
WI
Enumeration date
08/15/2018
Last updated
08/21/2025
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