Individual
MRS. MONICA J HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC, SLP
Contact information
Practice address
196 ALLEN AVE, PORTLAND, ME 04103-3711
(207) 874-8133
Mailing address
155 CAPE RD, RAYMOND, ME 04071-6711
(207) 655-4485
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP515
ME
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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