Individual
CASSIDY HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 E 4500 S STE A34, MURRAY, UT 84107-2710
(801) 771-0273
Mailing address
404 E 4500 S STE A34, MURRAY, UT 84107-2710
(801) 771-0273
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
12/28/2021
Last updated
10/05/2022
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