| Doctor Name: | JULIA HANSON |
| NPI Number: | 1245676998 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | 6801082545 |
| Business Practice Address: | 27941 Harper Ave. Suite 105 St. Clair Shores, MI - 48081 |
| Business Phone Number: | 5867773200 |
| Business Fax Number: | 5867777855 |
| Mailing Address: | 35613 Valley Crk., FARMINGTON HILLS |
| State: | MI |
| Postal Code: | 48335 |
| Phone Number: | 2484771557 |
| Fax Number: | |
| NPI Enumeration Date: | 05/21/2013 |
| NPI Last Update Date: | 05/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801082545 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |