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Individual
WAVERLY JULE HANSON
Active
Individual
WAVERLY JULE HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2492
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22703
NATIONAL CERTIFIED COUNSE
—
01
—
2492
LICENSE
CO
Enumeration date
10/06/2006
Last updated
07/08/2007
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