Brian Hansen

NPI #1477868602 in Leeds, Utah

Provider Information

NPI Number: 1477868602
Entity Type: Individual
Name: Brian Hansen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Aug 12, 2010
Last Updated: Aug 17, 2010

Practice Location

Address: 480 N. MAIN STREET
City: Leeds
State: Utah
ZIP Code: 84746-0993
Phone: (435) 879-6990

Specialties & Taxonomy Codes

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

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