Individual
KRISTIN LEIGH HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4443 W PINE BLVD, SAINT LOUIS, MO 63108-2301
(314) 535-3003
(314) 535-0756
Mailing address
4443 W PINE BLVD, SAINT LOUIS, MO 63108-2301
(314) 535-3003
(314) 535-0756
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2010035825
MO
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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