Individual
DAVID EDWARD HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
7 EAST HENDRICKS STREET, SHELBYVILLE, IN 46176-2124
(317) 392-2564
Mailing address
8180 CLEARVISTA PARKWAY, SUITE 230 ATTN SHERRY MUELLER, INDIANAPOLIS, IN 46256-4649
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003271A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100270530
—
IN
Enumeration date
12/07/2005
Last updated
08/03/2010
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