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NPI Code Detail

MEDICARE: MRS. ABBY ROSE HANSEN LCSW

MEDICARE:  MRS. ABBY ROSE HANSEN  LCSW
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
11041C0700XClinical Social Worker55416TX

General Provider Information

NPI Number : 1184331142
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ABBY ROSE HANSEN LCSW
Provider Business Mailing Address
First Line : 8751 COLLIN MCKINNEY PKWY STE 1102
Second Line : #1114
City : MCKINNEY
State : TX
Zip : 75070-1872
Country : US
Telephone Number : 469-751-8155
Fax Number :
Provider Business Practice Location Address
First Line : 8751 COLLIN MCKINNEY PKWY STE 1102
Second Line : #1114
City : MCKINNEY
State : TX
Zip : 75070-1872
Country : US
Telephone Number : 469-751-8155
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2022
Last Update Date : 10/31/2022

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Directions to “ MRS. ABBY ROSE HANSEN LCSW” Practice Location

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