Individual
MELISSA BETH HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Contact information
Practice address
540 EAST FIRST STREET, WACONIA, MN 55387-1601
(952) 442-4437
(952) 442-3084
Mailing address
540 EAST FIRST STREET, WACONIA, MN 55387-1601
(952) 442-4437
(952) 442-3084
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12475
MN
Other
Enumeration date
07/14/2006
Last updated
02/20/2014
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