Individual
AMY HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1585 JONESVILLE HWY, UNION, SC 29379-9790
(864) 429-3610
Mailing address
1585 JONESVILLE HWY, UNION, SC 29379-9790
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2222222
SC
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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