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Individual

DEBORAH L HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
501 3RD ST NE STE 1, DEVILS LAKE, ND 58301-3006
(701) 662-1911
(701) 662-4770
Mailing address
501 3RD ST NE STE 1, DEVILS LAKE, ND 58301-3006
(701) 662-1911
(701) 662-4770

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
19171
ND
01
26661
BCBS OF ND
ND
Enumeration date
09/15/2006
Last updated
07/08/2007
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