Individual
KEITH HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
145 S WORTHEN ST, WENATCHEE, WA 98801-3081
(509) 662-6761
Mailing address
145 S WORTHEN ST, WENATCHEE, WA 98801-3081
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CG60668250
WA
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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