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Individual
MELISSA HANSEN
Active
Individual
MELISSA HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY30123
CA
Other
Enumeration date
05/19/2009
Last updated
08/14/2018
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