Individual
GRACE E HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW-TRAINEE/STUDENT
Contact information
Practice address
512 W 750 S STE A, WOODS CROSS, UT 84010-7221
(406) 475-5866
Mailing address
512 W 750 S STE A, WOODS CROSS, UT 84010-7221
(801) 935-8449
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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