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Individual

MR. SHAWN D HANSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MFT

Contact information

Practice address
4538 W CRAIG RD, 290, NORTH LAS VEGAS, NV 89032-2508
(702) 486-5518
(702) 486-5630
Mailing address
2159 PATRIOTIC LN, NORTH LAS VEGAS, NV 89032-4832
(702) 638-8327

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
01006
NV

Other

Enumeration date
11/08/2006
Last updated
07/08/2007
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