Individual
ELIZABETH HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1624 CARLYLE AVE # 503, BELLEVILLE, IL 62221-4558
(404) 723-9983
Mailing address
1624 CARLYLE AVE # 503, BELLEVILLE, IL 62221-4558
(404) 723-9983
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003804
GA
Other
Enumeration date
10/09/2007
Last updated
01/07/2021
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