Shelley Kay Hansen LSW, MA, LP

NPI 1740343532 - Psychologist - 103T00000X

NPI Details
NPI 1740343532
Gender Female
Enumeration Date 12/19/2006
Last Updated 04/08/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
105 4TH ST E
SUITE #302
NORTHFIELD MN, 55057-2047, US
Phone (612) 532-6741
Fax
Business Location
105 4TH ST E
SUITE #302
NORTHFIELD MN, 55057-2047, US
Phone (612) 532-6741
Fax
Toxanomy
Taxonomy Code 103T00000X
License State Minnesota
License Number LP3954
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According to our database, Shelley Kay Hansen LSW, MA, LP NPI is 1740343532, taxonomy code is 103T00000X and license number is LP3954, license state is located at Minnesota. Shelley Kay Hansen LSW, MA, LP physically located at 105 4th St E, Northfield MN, 55057-2047. NPI Number Shelley Kay Hansen LSW, MA, LP has the Individual type.

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1740343532 NPI number is provided on an as is basis without warranty of any kind. 1740343532 is maintained by the National Plan & Provider Enumeration System. The contents of Shelley Kay Hansen LSW, MA, LP are for informational purposes only.