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Individual

ELIZA EVANGELINE HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLPA

Contact information

Practice address
1415 N 26TH ST, SAINT JOSEPH, MO 64506-2748
(816) 671-4000
Mailing address
801 N 9TH ST, ATCHISON, KS 66002-1757
(913) 203-5135

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2025036606
MO

Other

Enumeration date
08/25/2025
Last updated
08/25/2025
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