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1366083149
BRYCE HANSEN
EVANSVILLE, IN
NPI
1366083149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34009944A)
Enumeration Date
2019-10-03
Last Update Date
2022-10-25
Business Address
Mr. BRYCE HANSEN LCSW, MSW
445 N CROSS POINTE BLVD
EVANSVILLE, IN 47715-4010
Phone number: 812-471-4611
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Mailing Address
Mr. BRYCE HANSEN LCSW, MSW
PO BOX 1230
EVANSVILLE, IN 47706-1230
Phone number: 812-450-6815
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