SHAYLIE HANSEN

BEAVER DAM, WI
NPI1316757180
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  19793-130)
Enumeration Date2025-01-13
Last Update Date2025-01-13
Business Address
Mrs. SHAYLIE HANSEN SAC-IT
111 WARREN ST STE 2
BEAVER DAM, WI 53916-3084
Phone number: 920-219-4440
Mailing Address
Mrs. SHAYLIE HANSEN SAC-IT
610 W BURNETT ST
BEAVER DAM, WI 53916-1656
Phone number: 920-296-6770