Individual
TARA HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 5TH AVE SE, DEVILS LAKE, ND 58301-3649
(701) 662-7690
Mailing address
801 5TH AVE SE, DEVILS LAKE, ND 58301-3649
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
ND
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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