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Organization
HANSEN HOME SPEECH, LLC
Active
Organization
HANSEN HOME SPEECH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALLORY LYNN HANSEN CCC, MS (SPEECH LANGUAGE PATHOLOGIST)
(661) 904-8811
Entity
Organization
Contact information
Practice address
8981 N SKYE LOOP, EAGLE MOUNTAIN, UT 84005-6224
(661) 904-8811
Mailing address
8981 N SKYE LOOP, EAGLE MOUNTAIN, UT 84005-6224
(661) 904-8811
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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