Individual
KRISTINE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
326 TAMARACK DR, ROCK SPRINGS, WY 82901-7517
(307) 354-8962
Mailing address
326 TAMARACK DR, ROCK SPRINGS, WY 82901-7517
(307) 354-8962
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-529
WY
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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