STACIA HANSON MA LP LLC

EDINA, MN
NPI1871867549
Doing Business AsLILIUM CENTER
Entity TypeOrganization
Authorized ContactSTACIA HANSON
CEO, Owner
952-921-3266
Organization Subpart ?No
Primary Taxonomy103T00000X Psychologist
Additional Taxonomies103TC0700X Psychologist Clinical
Enumeration Date2012-02-28
Last Update Date2022-09-29
Business Address
STACIA HANSON MA LP LLC
7101 YORK AVE S SUITE 317
EDINA, MN 55435
Phone number: 952-921-3266
Mailing Address
STACIA HANSON MA LP LLC
7101 YORK AVE S SUITE 317
EDINA, MN 55435
Phone number: 952-921-3266