Individual
MIKE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4500 COLLEGE BLVD, SUITE 304, OVERLAND PARK, KS 66211-1799
(913) 338-0400
(913) 338-0428
Mailing address
4500 COLLEGE BLVD, SUITE 304, OVERLAND PARK, KS 66211-1799
(913) 338-0400
(913) 338-0428
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1526
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24767017
BC&BS OF KC
MO
Enumeration date
06/30/2006
Last updated
07/08/2007
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