| Sb Hanson Lcsw, Llc | |
|
6015 Durand Ave Suite 450 Racine WI 53406-5089 | |
| (262) 488-0603 | |
| Not Available |
| Full Name | Sb Hanson Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6015 Durand Ave, Racine, Wisconsin |
| Authorized Official Name and Position | Stephanie Hanson (OWNER) |
| Authorized Official Contact | 2624880603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sb Hanson Lcsw, Llc 6015 Durand Ave Suite 450 Racine WI 53406-5089 Ph: (262) 488-0603 | Sb Hanson Lcsw, Llc 6015 Durand Ave Suite 450 Racine WI 53406-5089 Ph: (262) 488-0603 |
| NPI Number | 1831480094 |
|---|---|
| Provider Enumeration Date | 04/22/2011 |
| Last Update Date | 04/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831480094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1540-123 (Wisconsin) | Primary |
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