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Individual

MS. JOAN ELLEN HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCC SP

Contact information

Practice address
2895 S MOORLAND ROAD, NEW BERLIN THERAPIES, NEW BERLIN, WI 53151
(262) 782-9015
Mailing address
3023 S 53RD ST, MILWAUKEE, WI 53219
(414) 545-4672

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
12/15/2006
Last updated
07/08/2007
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