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1841407327
THERESA LYNN HANSEN
SPRINGFIELD, IL
NPI
1841407327
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149003900)
Enumeration Date
2007-05-16
Last Update Date
2007-07-08
Business Address
-- THERESA LYNN HANSEN LCSW
1201 S VETERANS PKWY SUITE B
SPRINGFIELD, IL 62704-6321
Phone number: 217-793-2770
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Mailing Address
-- THERESA LYNN HANSEN LCSW
2704 KEATS DR
SPRINGFIELD, IL 62711-5618
Phone number: 217-793-0350
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