Individual
KANDYCE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S,CCC/SLP
Contact information
Practice address
26920 PIONEER HWY, STANWOOD, WA 98292-9548
(360) 629-1360
Mailing address
30627 82ND AVE NW, STANWOOD, WA 98292-5815
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL0003206
WA
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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