Individual
CODY J HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
927 N 71 BUSINESS HWY, ANDERSON, MO 64831-9753
(417) 355-9401
(417) 845-8314
Mailing address
6 FAYE LN, BELLA VISTA, AR 72714-4028
(479) 321-0160
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2025028929
MO
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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