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Individual
TIMOTHY ALAN HANSON
Active
Individual
TIMOTHY ALAN HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW-LICSW-A
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
WA
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2041978
—
WA
Enumeration date
10/08/2013
Last updated
06/22/2015
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