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1194499756
BLAINE EDWARD HANSON
BROOKLYN PARK, MN
NPI
1194499756
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 26434)
Enumeration Date
2021-08-05
Last Update Date
2021-08-05
Business Address
BLAINE EDWARD HANSON LICSW
5500 94TH AVE N
BROOKLYN PARK, MN 55443-1992
Phone number: 763-762-8862
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Mailing Address
BLAINE EDWARD HANSON LICSW
9400 ZANE AVE N
BROOKLYN PARK, MN 55443-1814
Phone number: 763-762-8862
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