Individual
RONNIE LOUISE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1229 MAIN STREET, PHILOMATH, OR 97370
(541) 609-0462
Mailing address
710 SW 57TH ST, CORVALLIS, OR 97333-4480
(541) 609-0462
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7842
OR
Other
Enumeration date
09/30/2010
Last updated
10/05/2018
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