Organization
SB HANSON LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE HANSON (OWNER)
(262) 488-0603
Entity
Organization
Contact information
Practice address
6015 DURAND AVE, SUITE 450, RACINE, WI 53406-5089
(262) 488-0603
Mailing address
6015 DURAND AVE, SUITE 450, RACINE, WI 53406-5089
(262) 488-0603
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1540-123
WI
Other
Enumeration date
04/22/2011
Last updated
04/22/2011
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