Individual
MRS. SANDRA HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9610 PERE MARQUETTE DR, STANWOOD, MI 49346-8359
(231) 349-6180
Mailing address
9610 PERE MARQUETTE DR, STANWOOD, MI 49346-8359
(231) 349-6180
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
08/08/2016
Last updated
03/25/2019
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