Individual
STEVEN DALE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7001 E FISH LAKE RD, MAPLE GROVE, MN 55311-2841
(800) 257-7800
Mailing address
7001 E FISH LAKE RD, MAPLE GROVE, MN 55311-2841
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4287
MN
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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