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Individual
LAURA HANSEN
Active
Individual
LAURA HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
S1600123
OH
1041C0700X
Clinical Social Worker
Primary
I1901541
OH
Other
Enumeration date
06/28/2016
Last updated
05/22/2019
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