Individual
DR. CIARA HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
US- 491, SHIPROCK, NM 87420
(505) 368-6001
Mailing address
6327 CLUB HOUSE DR, FARMINGTON, NM 87402-4457
(406) 546-7554
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-005220
AZ
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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