Individual
MS. MICHELLE SUZANNE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
683 STATE AVE, DICKINSON, ND 58601-4660
(701) 483-9400
Mailing address
855 19TH ST E, DICKINSON, ND 58601-3470
(910) 616-6559
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9606
NC
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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