Individual
MR. BRUCE HANSUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2210 W BROWN PLACE, SIOUX FALLS, SD 57105-6582
(605) 336-1974
(605) 336-9031
Mailing address
2210 W BROWN PLACE, SIOUX FALLS, SD 57105-6582
(605) 336-1974
(605) 336-9031
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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