Individual
AVERY RAE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7601 WAYZATA BLVD, MINNEAPOLIS, MN 55426-1623
(612) 232-8898
Mailing address
7366 JANERO AVE S, COTTAGE GROVE, MN 55016-2292
(612) 516-9134
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/03/2023
Last updated
05/10/2023
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