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NPI Code Detail

MEDICARE: BRITTANY HAGEN APSW

MEDICARE: BRITTANY HAGEN APSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker128875-121WI

General Provider Information

NPI Number : 1427674456
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY HAGEN APSW
Provider Business Mailing Address
First Line : 511 MADISON AVE
Second Line :
City : FORT ATKINSON
State : WI
Zip : 53538-1444
Country : US
Telephone Number : 920-541-3078
Fax Number : 920-817-3831
Provider Business Practice Location Address
First Line : 511 MADISON AVE
Second Line :
City : FORT ATKINSON
State : WI
Zip : 53538-1444
Country : US
Telephone Number : 920-541-3078
Fax Number : 920-817-3831
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2020
Last Update Date : 01/02/2026

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