Individual
MS. LAURA B HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
780 GUARDSMAN WAY, SALT LAKE CITY, UT 84108-1374
(801) 581-0194
Mailing address
1546 HARRISON AVE, SALT LAKE CITY, UT 84105-2710
(801) 583-8013
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3085383501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107003088101
INTRMTN. HEALTH CARE
UT
01
—
30853835000001
BLUE CROSS
UT
01
—
656824
DESERET MUTUAL
UT
01
—
942938348008
CHAMPUS
UT
Enumeration date
01/23/2006
Last updated
07/08/2007
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