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Individual

MRS. DANA LYNN HANIFAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC

Contact information

Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-7068
(734) 615-1532
Mailing address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-7068
(734) 615-1532

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101002029
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1003878539
MI
Enumeration date
09/11/2018
Last updated
09/11/2018
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