Individual
JEFFREY MICHAEL HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
250 DEWEY AVE, SPARTANBURG, SC 29303-3009
(864) 585-0366
(864) 583-3136
Mailing address
250 DEWEY AVE, SPARTANBURG, SC 29303-3009
(864) 585-0366
(864) 583-3136
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9018
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121328
—
SC
Enumeration date
10/28/2009
Last updated
10/28/2009
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