Individual
MS. HEATHER ANN HANSEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
777 W CENTER ST, MIDVALE, UT 84047-7148
(801) 255-6881
(801) 562-9347
Mailing address
1977 HUBBARD AVE, SALT LAKE CITY, UT 84108-1303
(801) 808-2652
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3744403502
UT
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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