Individual
CATHY RUTH HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 2ND ST SW, SUITE 1, WADENA, MN 56482-1417
(218) 631-1714
Mailing address
11 2ND ST SW, SUITE 1, WADENA, MN 56482-1417
(218) 631-1714
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13952
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143654
UCARE
MN
01
—
62B67HA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
02/19/2007
Last updated
07/08/2007
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