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1972131290
TIMOTHY HANSON
SAINT PAUL, MN
NPI
1972131290
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 304742)
Enumeration Date
2020-03-31
Last Update Date
2023-12-07
Business Address
TIMOTHY HANSON
1394 JACKSON ST STE 300
SAINT PAUL, MN 55117-4669
Phone number: 651-478-7815
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Mailing Address
TIMOTHY HANSON
7235 GUIDER DR APT 105
WOODBURY, MN 55125-5344
Phone number: 651-361-0025
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