Alicia Hans Lcsw | |
815 Wisconsin Ave North Fond Du Lac WI 54937-2702 | |
(920) 630-1324 | |
(920) 479-2870 |
Full Name | Alicia Hans Lcsw |
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Speciality | Social Worker - Clinical |
Location | 815 Wisconsin Ave, North Fond Du Lac, Wisconsin |
Authorized Official Name and Position | Alicia Hans (CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 9206301324 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Alicia Hans Lcsw 815 Wisconsin Ave North Fond Du Lac WI 54937-2702 Ph: (920) 630-1324 | Alicia Hans Lcsw 815 Wisconsin Ave North Fond Du Lac WI 54937-2702 Ph: (920) 630-1324 |
NPI Number | 1184369142 |
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Provider Enumeration Date | 05/03/2022 |
Last Update Date | 02/18/2024 |
Certification Date | 02/18/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184369142 | NPI | - | NPPES |
1962982421 | Other | WI | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |