Individual
MR. MARK E HANSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.A.,L.P.
Contact information
Practice address
1403 15TH AVE NW, AUSTIN, MN 55912-1911
(507) 433-6482
(507) 433-0097
Mailing address
1403 15TH AVE NW, AUSTIN, MN 55912-1911
(507) 433-6482
(507) 433-0097
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2935
MN
Other
Enumeration date
11/10/2005
Last updated
07/08/2007
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