Individual
MARISSA HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
721 COMMERCE DR, WOODBURY, MN 55125
(651) 424-4060
Mailing address
721 COMMERCE DR, WOODBURY, MN 55125
(651) 424-4060
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27486
MN
1041C0700X
Clinical Social Worker
6801097695
MI
Other
Enumeration date
03/26/2015
Last updated
09/24/2018
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