Individual
MS. CORYNN HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
11971 WAGON WHEEL RD, ROCKTON, IL 61072-3322
(815) 624-2615
Mailing address
11971 WAGON WHEEL RD, ROCKTON, IL 61072-3322
(608) 347-8524
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146012340
IL
Other
Enumeration date
09/10/2015
Last updated
04/08/2020
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