Individual
ABIGAIL JANE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP/L
Contact information
Practice address
2325 OHIO PKWY, ROCKFORD, IL 61108-7514
(815) 229-2840
Mailing address
600 ARDMORE TER, LIBERTYVILLE, IL 60048-3318
(847) 997-4568
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146015720
IL
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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