Michael Hanson, LCSW
Social Worker, Clinical in Olympia Fields, IL. Individual provider (NPI-1).
NPI number1588198295
StatusActive
Last updated in NPPESApr 19, 2017
Details
- NPI
- 1588198295
- Entity type
- Individual (NPI-1)
- Name
- Michael Hanson
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 19, 2017
- Last updated
- Apr 19, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149.006986 | IL | Yes |
Practice location
19990 Governors HwyOlympia Fields, IL 60461-1021
Phone 312-617-6230 · Fax 708-747-7999
Mailing address
1648 Ash AveWoodstock, IL 60098-2589
Phone 815-307-2539
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