Individual
CANDACE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1720 E OSAGE RD # 200, DERBY, KS 67037-2090
(316) 425-7774
(316) 425-7779
Mailing address
1720 E OSAGE RD # 200, DERBY, KS 67037-2090
(316) 425-7774
(316) 425-7779
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10340
KS
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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