Individual
ELIZABETH HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
6 E 45TH ST, MINNEAPOLIS, MN 55419-5026
(612) 234-1586
Mailing address
3613 COLUMBUS AVE, MINNEAPOLIS, MN 55407-2528
(773) 968-0227
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26709
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427609031
—
MN
01
—
K991-174-134-019
DRIVER'S LICENSE
MN
Enumeration date
09/25/2019
Last updated
07/01/2022
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