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Individual

ANGELA MARIA HANSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
6219 WOODHAVEN VILLAGE DRIVE, PORT ORANGE, FL 32128
(786) 393-0315
(786) 396-9605
Mailing address
6219 WOODHAVEN VILLAGE DRIVE, PORT ORANGE, FL 32128
(786) 393-0315
(786) 396-9605

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103K00000X
Behavior Analyst
1041C0700X
Clinical Social Worker
Primary
SW18567
FL

Other

Enumeration date
08/31/2016
Last updated
02/28/2025
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