Individual
SHEA NICOLE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
949 S GLENDALE ST, WICHITA, KS 67218-3210
(316) 685-2221
(316) 239-2747
Mailing address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
(316) 239-2747
Taxonomy
Speciality
Code
Description
License number
State
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
Primary
21983
KS
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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