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Individual

MARISSA HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
750 E FIREWEED LN STE 101, ANCHORAGE, AK 99503-2813
(907) 202-4568
Mailing address
750 E FIREWEED LN STE 101, ANCHORAGE, AK 99503-2813
(907) 202-4568

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
104100000X
Social Worker
BP00944020
WV
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
104387
AK
1041C0700X
Clinical Social Worker
DP00944020
WV

Other

Enumeration date
09/10/2009
Last updated
08/13/2024
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