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Individual

MARYANN HANSETH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
3015 SQUALICUM PKWY, BELLINGHAM, WA 98225-1945
(360) 715-4186
(360) 715-4143
Mailing address
PO BOX 5096, BELLINGHAM, WA 98227
(360) 715-4186
(360) 715-4143

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00006428
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1699735639
WA
01
7111517
AETNA
WA
01
7544HA
REGENCE
WA
Enumeration date
03/24/2006
Last updated
12/01/2010
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