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Individual
MOLLIE HANSEN
Active
Individual
MOLLIE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
G60655200
WA
106E00000X
Assistant Behavior Analyst
AB60925122
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2061184
—
WA
Enumeration date
06/01/2016
Last updated
09/24/2019
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