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Individual

JANE CATHERINE HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
1966 WALNUT ST, LAUDERDALE, MN 55113-5136
(612) 418-0694
Mailing address
1966 WALNUT ST, LAUDERDALE, MN 55113-5136
(612) 418-0694

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20689
MN

Other

Enumeration date
06/18/2013
Last updated
06/18/2013
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