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1821487547
ALISSA HANSEN
SOUTH BEND, IN
NPI
1821487547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: IN 34008218A)
Enumeration Date
2015-01-19
Last Update Date
2021-11-10
Business Address
ALISSA HANSEN LCSW
51728 INDIANA STATE ROUTE 933
SOUTH BEND, IN 46637-1706
Phone number: 574-298-0962
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Mailing Address
ALISSA HANSEN LCSW
150 SYLVAN GLEN DR
SOUTH BEND, IN 46615-3115
Phone number: 574-334-1118
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