Individual
MR. STEPHEN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-1457
Contact information
Practice address
1520 LOGAN AVE, CHEYENNE, WY 82001-5138
(970) 817-3426
Mailing address
2565 KENNEDY ST, LARAMIE, WY 82070-6543
(307) 460-3499
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-1457
WY
Other
Enumeration date
01/24/2020
Last updated
06/26/2022
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