Individual
LUKE KENNETH HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
575 E PLUMB LN, 100, RENO, NV 89502-3540
(775) 329-0623
(775) 337-2971
Mailing address
575 E PLUMB LN, 100, RENO, NV 89502-3540
(775) 329-0623
(775) 337-2971
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6251-C
NV
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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