Mary Jennifer Hanson, LCSW
NPI #1104488717 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1104488717
- Entity Type
- Individual
- Name
- Mary Jennifer Hanson, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Jul 3, 2019
- Last Updated
- Jul 3, 2019
Practice Location
- Address
- 2 SHILOH DR
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-3212
- Phone
- (618) 570-5460
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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