Individual
ELLEN HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 262-0556
Mailing address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 262-0556
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/04/2017
Last updated
09/04/2024
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