Individual
MRS. MICHELLE LYNN HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3113 1ST AVE SW, CEDAR RAPIDS, IA 52405-4524
(319) 530-2157
Mailing address
2250 WESTLAKE RD APT 101, NORTH LIBERTY, IA 52317-2003
(319) 530-2157
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
008246
IA
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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