Individual
MELISSA HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5207 W 9000N RD, MANTENO, IL 60950-3351
(815) 386-3149
Mailing address
598 SPRING PARK LOOP, BOURBONNAIS, IL 60914-4968
(815) 671-7092
(888) 978-5139
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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