Individual
MRS. CAROL MARIE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 W CALEB CT, COLUMBIA, MO 65203-6517
(573) 619-2348
Mailing address
4300 W CALEB CT, COLUMBIA, MO 65203-6517
(573) 619-2348
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/07/2007
Last updated
07/08/2007
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