Individual
MAURI HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2655 S LAKE ERIE DR STE B, WEST VALLEY, UT 84120-7351
(385) 441-4900
Mailing address
3118 E CELESTE WAY, SALT LAKE CITY, UT 84109-3119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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