Individual
MR. CHARLES ROBERT HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSWR
Contact information
Practice address
26 CONKEY AVENUE, BOX 102, NORWICH, NORWICH, NY 13815
(607) 334-9604
Mailing address
5 TAYLOR AVE, NORWICH, NY 13815-1917
(607) 334-7289
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R035839
NY
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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