Individual
ABASS HASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1514 N 17TH ST, MILWAUKEE, WI 53205-2006
(414) 315-5344
Mailing address
1514 N 17TH ST, MILWAUKEE, WI 53205-2006
(414) 315-5344
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H2500148900103
—
WI
Enumeration date
03/13/2022
Last updated
03/13/2022
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