Individual
MRS. MIRIAM K HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11755 POINTE PL, SUITE B-2, ROSWELL, GA 30076-4636
(770) 521-8700
(770) 565-2660
Mailing address
11755 POINTE PL, SUITE B-2, ROSWELL, GA 30076-4636
(770) 521-8700
(770) 565-2660
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000472
GA
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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