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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