Individual
CORY LYNN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21934 N 68TH AVE, GLENDALE, AZ 85310-5242
(623) 910-4194
Mailing address
21934 N 68TH AVE, GLENDALE, AZ 85310-5242
(623) 910-4194
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA10449
AZ
Other
Enumeration date
07/13/2017
Last updated
07/21/2022
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