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Individual

DANIELLE MARIE HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
4112 46TH AVE, ROCK ISLAND, IL 61201-7166
(309) 779-2828
(309) 779-2839
Mailing address
4112 46TH AVE, ROCK ISLAND, IL 61201-7166
(309) 779-2828
(309) 779-2839

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146008058
IL

Other

Enumeration date
10/13/2009
Last updated
10/13/2009
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