| Hansen, Llc | |
|
353 Forest Grove Dr Ste 101 Pewaukee WI 53072-3765 | |
| (414) 604-6770 | |
| Not Available |
| Full Name | Hansen, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 353 Forest Grove Dr Ste 101, Pewaukee, Wisconsin |
| Authorized Official Name and Position | Angela Hansen (OWNER) |
| Authorized Official Contact | 4146046770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hansen, Llc 353 Forest Grove Dr Ste 101 Pewaukee WI 53072-3765 Ph: (414) 604-6770 | Hansen, Llc 353 Forest Grove Dr Ste 101 Pewaukee WI 53072-3765 Ph: (414) 604-6770 |
| NPI Number | 1598302911 |
|---|---|
| Provider Enumeration Date | 12/04/2019 |
| Last Update Date | 12/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598302911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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