Individual
ALISIA HANSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2400 HOSPITAL RD, TUSKEGEE, AL 36083-5001
(334) 272-4670
Mailing address
2400 HOSPITAL RD, TUSKEGEE, AL 36083-5001
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M8271
MS
1041C0700X
Clinical Social Worker
Primary
4472C
AL
Other
Enumeration date
04/20/2016
Last updated
01/27/2021
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