Individual
ELIZABETH HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1916 N 12TH ST, TOLEDO, OH 43604-5306
(419) 241-8827
(419) 243-1505
Mailing address
6605W CENTRAL AVE, TOLEDO, OH 43617-1000
(419) 841-7701
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I. 303603
OH
Other
Enumeration date
09/04/2014
Last updated
12/30/2015
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