Individual
LARA HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2353 SE 14TH ST, DES MOINES, IA 50320-1109
(515) 248-1400
Mailing address
1200 UNIVERSITY AVE, SUITE 200, DES MOINES, IA 50314-2355
(515) 248-1447
(515) 248-1440
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
008318
IA
Other
Enumeration date
01/21/2014
Last updated
12/27/2016
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