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1376746503
SUSAN HANSEN
SALT LAKE CITY, UT
NPI
1376746503
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 2719823501)
Enumeration Date
2007-06-06
Last Update Date
2007-07-09
Business Address
-- SUSAN HANSEN LCSW
3970 S 700 E SUITE 12
SALT LAKE CITY, UT 84107-2191
Phone number: 801-263-0800
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Mailing Address
-- SUSAN HANSEN LCSW
3970 S 700 E SUITE 12
SALT LAKE CITY, UT 84107-2191
Phone number: 801-263-0800
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