BLAINE EDWARD HANSON

BROOKLYN PARK, MN
NPI1194499756
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  26434)
Enumeration Date2021-08-05
Last Update Date2021-08-05
Business Address
BLAINE EDWARD HANSON LICSW
5500 94TH AVE N
BROOKLYN PARK, MN 55443-1992
Phone number: 763-762-8862
Mailing Address
BLAINE EDWARD HANSON LICSW
9400 ZANE AVE N
BROOKLYN PARK, MN 55443-1814
Phone number: 763-762-8862