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Individual

MR. DENNIS EDWARD HANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
500 15TH AVE S, GREAT FALLS, MT 59405-4304
(406) 455-2351
Mailing address
PO BOX 5096, GREAT FALLS, MT 59403-5096
(406) 455-2351

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
945
MT
1041C0700X
Clinical Social Worker
Primary
431
MT

Other

Enumeration date
01/08/2010
Last updated
01/08/2010
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