Individual
LIZA PAIGE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2265 W BROADWAY ST, IDAHO FALLS, ID 83402-2996
(208) 524-7400
(208) 524-8004
Mailing address
2265 W BROADWAY ST, IDAHO FALLS, ID 83402-2996
(208) 524-7400
(208) 524-8004
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8861639
ID
104100000X
Social Worker
Primary
LMSW-40908
ID
Other
Enumeration date
08/17/2021
Last updated
03/18/2026
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