Individual
BRYCE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
LICSW
Contact information
Practice address
7601 145TH ST W, APPLE VALLEY, MN 55124-5511
(612) 268-5858
(612) 268-5868
Mailing address
7401 METRO BLVD STE 250, EDINA, MN 55439-3062
(612) 268-5858
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26583
MN
Other
Enumeration date
05/05/2025
Last updated
05/08/2025
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