Provider Information for 1902538127
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JOSEPH EDWARD HANSEN LCSW
Sex: Male
NPI: 1902538127
Last Updated: 2023-01-05
Certification Date: 2023-01-05
Certification Date: 2023-01-05
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1902538127 | ||||||||
| Enumeration Date | 2022-06-27 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 601 1ST AVE N GREAT FALLS, MT 59401-2510 United States Phone: 406-454-6973 | Fax:406-791-9277 | ||||||||
| Primary Practice Address | 510 1ST AVE N GREAT FALLS, MT 59401-2592 United States Phone: 406-454-6973 | Fax:406-791-9277 | ||||||||
| Secondary Practice Address(es) | 601 1ST AVE N 115 4TH ST S | ||||||||
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