Individual
MALLORY LYNN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
8981 N SKYE LOOP, EAGLE MOUNTAIN, UT 84005
(661) 904-8811
Mailing address
8981 N SKYE LOOP, EAGLE MOUNTAIN, UT 84005-6224
(661) 904-8811
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/19/2017
Last updated
08/23/2019
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