Individual
CHERYL BLOCK HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
502 2ND ST SW, WILLMAR, MN 56201-3337
(320) 235-7232
Mailing address
10486 90TH ST NE, SPICER, MN 56288-8648
(320) 796-5197
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
874
MN
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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