Individual
CAROLYN JO HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3660 S WEST TEMPLE, SALT LAKE CITY, UT 84115-4441
(385) 468-4448
Mailing address
8342 EL MANICERO WAY, SANDY, UT 84093-1222
(385) 468-4448
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
327377-3501
UT
Other
Enumeration date
04/15/2011
Last updated
04/15/2011
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