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NPI Code Detail

MEDICARE: ELISABETH HANSON LMSW

MEDICARE: ELISABETH HANSON LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker13627KS

General Provider Information

NPI Number : 1043041783
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISABETH HANSON LMSW
Provider Business Mailing Address
First Line : 130 E 5TH ST
Second Line :
City : NEWTON
State : KS
Zip : 67114-2206
Country : US
Telephone Number : 316-283-6743
Fax Number :
Provider Business Practice Location Address
First Line : 3820 N TOBEN ST
Second Line :
City : WICHITA
State : KS
Zip : 67226-2903
Country : US
Telephone Number : 316-634-3954
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2024
Last Update Date : 08/13/2024

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Directions to “ ELISABETH HANSON LMSW” Practice Location

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