Organization
LAURA HANSEN, MSW, LICSW COUNSELING SERVICES, INC.
Active
Organization
LAURA HANSEN, MSW, LICSW COUNSELING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA MARGARET HANSEN MSW, LICSW (MENTAL HEALTH THERAPIST/ CLINICIAN)
(218) 556-3209
Entity
Organization
Contact information
Practice address
403 4TH STREET NE, SUITE 110, BEMIDJI, MN 56601
(218) 556-3209
Mailing address
3414 HANSEN CT NW, BEMIDJI, MN 56601-4191
(218) 556-3209
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3964
MN
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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