MS. Shelly Hansen

NPI #1164078762 in Davenport, Iowa

Provider Information

NPI Number: 1164078762
Entity Type: Individual
Name: MS. Shelly Hansen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Aug 11, 2019
Last Updated: Dec 29, 2023

Practice Location

Address: 1414 W LOMBARD ST
City: Davenport
State: Iowa
ZIP Code: 52804-2148
Phone: (563) 326-6431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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