Individual
MS. NICOLE S HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1908 JENNIE LEE DR, IDAHO FALLS, ID 83404-6159
(208) 315-9097
Mailing address
340 STILLWATER CIR, IDAHO FALLS, ID 83404-6904
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4381217
ID
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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