Fossum, Dawn C

Fossum, Dawn C is an individual health care provider with primary practice located at 3530 N County Rd E # F , Janesville WI 53548-9074. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Fossum, Dawn C can be contacted via phone (608) 758-8412.

Contact Information

Primary practice address
3530 N County Rd E # F Janesville WI 53548-9074
Phone: (608) 758-8412
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 8769-120 Wisconsin

Profile Details

NPI number 1831385335
LBN Legal business name Fossum, Dawn C
Credentials SOCIAL WORKER
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2007
Last updated Sep 18th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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