Individual
MR. KENNETH LONGFELLOW HANNA II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
807 DIVISION ST S, NORTHFIELD, MN 55057-2430
(320) 420-1272
(320) 240-6814
Mailing address
807 DIVISION ST S, NORTHFIELD, MN 55057-2430
(320) 420-1272
(320) 240-6814
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13493
MN
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
11/01/2006
Last updated
02/05/2025
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