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Individual

SHEALYN HANSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4901 W 20TH AVE, KENNEWICK, WA 99338-5009
(509) 222-6216
Mailing address
4901 W 20TH AVE, KENNEWICK, WA 99338-5009
(509) 222-6216

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60587134
WA

Other

Enumeration date
02/04/2016
Last updated
02/04/2016
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