BLAKE HANSEN, LCSW

Social Worker - Clinical

Active Individual
NPI: 1518281286

Practice Address

640 E BROADWAY
Jackson, WY 83001

Phone: (307) 733-2046

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes LCSW- 365 (WY)

Frequently Asked Questions

NPI 1518281286 is the National Provider Identifier for BLAKE HANSEN, LCSW, a Social Worker - Clinical provider located in Jackson, WY. This NPI was enumerated on March 24, 2010.
BLAKE HANSEN, LCSW practices at 640 E BROADWAY, Jackson, WY 83001.

Quick Facts

NPI
1518281286
Type
Individual
Enumerated
Mar 24, 2010
Last Updated
Jul 16, 2011

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