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Individual

MICHELLE ALICE HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6616 REED CT, ARVADA, CO 80003-4005
(720) 434-7777
(720) 726-7140
Mailing address
6616 REED CT, ARVADA, CO 80003-4005
(720) 434-7777
(720) 726-7140

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0001914
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
98734539
CO
Enumeration date
04/05/2015
Last updated
01/26/2016
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