Individual
CAROLYNN HANZAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 LAKE ST N STE 210, FOREST LAKE, MN 55025-2511
(612) 672-6999
Mailing address
1219 11TH AVE SW APT 3, FOREST LAKE, MN 55025-1397
(309) 749-7001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
30272
MN
Other
Enumeration date
12/18/2019
Last updated
05/01/2023
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