Individual
COURTNEY HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
103 FOUNTAIN BROOK CIRCLE, D2, CARY, NC 27511
(914) 474-9777
Mailing address
103 FOUNTAIN BROOK CIRCLE, D2, CARY, NC 27511
(914) 474-9777
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
22041
NC
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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