Individual
ERIC WAYNE HANSEN
Active
Individual
ERIC WAYNE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW LMFT
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9021
MN
106H00000X
Marriage & Family Therapist
2319
MN
Other
Enumeration date
05/21/2014
Last updated
09/17/2024
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