Individual
MR. MARK CHRISTOPHER HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
1700 S LINCOLN AVE, LEBANON, PA 17042-7529
(717) 433-3281
Mailing address
1700 S LINCOLN AVE, LEBANON, PA 17042-7529
(717) 433-3281
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW129908
PA
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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