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1104816347
JODY HANSEN
CHESTERFIELD, MO
NPI
1104816347
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MO 2001014183)
Enumeration Date
2005-10-27
Last Update Date
2009-11-11
Business Address
Ms. JODY HANSEN M.A., L.P.C., N.C.C.
14500 S OUTER 40 RD STE 108
CHESTERFIELD, MO 63017-5736
Phone number: 314-488-8798
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Mailing Address
Ms. JODY HANSEN M.A., L.P.C., N.C.C.
345 REMINGTON WAY DR
BALLWIN, MO 63021-6379
Phone number: 636-230-9258
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