Individual
MRS. ERICA LEIGH HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1945 HWY 33, NEPTUNE, NJ 07753-4859
(732) 776-2325
Mailing address
216 HAWTHORNE ST, NEPTUNE, NJ 07753-3920
(908) 370-5665
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05726900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
223471515
—
NJ
Enumeration date
12/30/2012
Last updated
12/30/2012
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