Individual
SAMUEL JACOB HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5965 S 900 E, MURRAY, UT 84121-1757
(801) 639-9146
Mailing address
5676 S MAGIC DR, MURRAY, UT 84107-8220
(801) 867-5170
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7477111-3501
UT
Other
Enumeration date
02/08/2021
Last updated
03/07/2025
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