Individual
MRS. MARY THRELKELD HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2434 DULUTH HIGHWAY 120 STE 108, DULUTH, GA 30097-4067
(770) 495-7877
(770) 495-8383
Mailing address
2434 DULUTH HIGHWAY 120 STE 108, DULUTH, GA 30097-4067
(770) 495-7877
(770) 495-8383
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1689
GA
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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