Individual
GRACE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435 E MAIN ST, GREENWOOD, IN 46143-1384
(317) 743-8202
Mailing address
449 SOUTHGATE DR, GREENWOOD, IN 46143-1206
(260) 609-0954
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
99100620A
IN
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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