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Individual

WILLIAM MARTIN HANSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCMHC

Contact information

Practice address
120 ELM ST STE 2, BENNINGTON, VT 05201-2865
(203) 558-5404
Mailing address
120 ELM ST STE 2, BENNINGTON, VT 05201-2865
(203) 558-5404

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0069619
VT

Other

Enumeration date
05/11/2012
Last updated
05/11/2012
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