Individual
MICHELLE F HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW; LICSW; LADC
Contact information
Practice address
48 GUADALCANAL DR, BRUNSWICK, ME 04011-2732
(207) 542-4439
Mailing address
48 GUADALCANAL DR, BRUNSWICK, ME 04011-2732
(207) 542-4439
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LC16318
ME
1041C0700X
Clinical Social Worker
Primary
LICSW126393
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
435765199
—
ME
Enumeration date
05/19/2010
Last updated
04/04/2025
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