Individual
MS. SHIRLEY D HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1415 N 1ST ST, PHOENIX, AZ 85004
(602) 685-6000
(602) 685-6001
Mailing address
3003 N CENTRAL AVE, SUITE 200, PHOENIX, AZ 85012-2902
(602) 685-6000
(602) 685-6001
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-12619
AZ
1041C0700X
Clinical Social Worker
Primary
LCSW-16581
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341664
—
AZ
Enumeration date
12/15/2008
Last updated
07/13/2018
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