Individual
CARLY C HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2460 INDIA HOOK RD STE 104&105, ROCK HILL, SC 29732-3530
(803) 366-6250
(615) 577-5654
Mailing address
1321 MURFREESBORO PIKE STE 702, NASHVILLE, TN 37217-2679
(844) 359-7629
(615) 577-5654
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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