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Organization

HANSON ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GARY D HANSON LMFT (PRESIDENT/OWNER)
(763) 533-5339
Entity
Organization

Contact information

Practice address
7200 HEMLOCK LN N SUITE 108, MAPLE GROVE, MN 55369-5576
(763) 533-5339
(763) 390-0862
Mailing address
7200 HEMLOCK LN N SUITE 108, MAPLE GROVE, MN 55369-5576
(763) 533-5339
(763) 390-0863

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107643
HEALTH PARTNER ID NUMBER
MN
05
208624700
MN
01
337M7HA
BCBS MN PROVIDER ID
MN
Enumeration date
02/02/2006
Last updated
10/27/2014
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