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Individual

SHANTE SOOKHLALL HANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT, RN

Contact information

Practice address
5995 OREN AVE N STE 108, STILLWATER, MN 55082-5302
(612) 524-9237
(612) 314-8317
Mailing address
5995 OREN AVE N STE 108, STILLWATER, MN 55082-5302
(612) 524-9237
(612) 314-8317

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
2192-124
WI
106H00000X
Marriage & Family Therapist
Primary
2306
MN
163W00000X
Registered Nurse
1119070-30
WI
163W00000X
Registered Nurse
2485250
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1073880068
MN
Enumeration date
11/19/2011
Last updated
01/23/2026
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