Individual
MR. BRYCE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW,
Contact information
Practice address
7300 E INDIANA ST STE 103, EVANSVILLE, IN 47715-7448
(216) 468-5000
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
(216) 468-5000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34009944A
IN
Other
Enumeration date
10/03/2019
Last updated
09/04/2025
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