Henn, Sandra Elizabeth

Henn, Sandra Elizabeth is an individual health care provider with primary practice located at 3506 N Us Highway 51 , Janesville WI 53545-0726. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Henn, Sandra Elizabeth can be contacted via phone (608) 757-5215.

Contact Information

Primary practice address
3506 N Us Highway 51 Janesville WI 53545-0726
Phone: (608) 757-5215
Fax: (608) 757-5231
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 215125 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 861123 Wisconsin

Profile Details

NPI number 1710038385
LBN Legal business name Henn, Sandra Elizabeth
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Jul 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710038385 NPPES
Wisconsin MEDICAID 40905800

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