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1871123117
STEPHEN HANSEN
CHEYENNE, WY
NPI
1871123117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WY LCSW-1457)
Enumeration Date
2020-01-24
Last Update Date
2022-06-26
Business Address
Mr. STEPHEN HANSEN LCSW-1457
1520 LOGAN AVE
CHEYENNE, WY 82001-5138
Phone number: 970-817-3426
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Mailing Address
Mr. STEPHEN HANSEN LCSW-1457
2565 KENNEDY ST
LARAMIE, WY 82070-6543
Phone number: 307-460-3499
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