Individual
MRS. BREANNA CAROL HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 WHIPPLE ST, EAU CLAIRE, WI 54703-5270
(715) 838-3311
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5293-154
WI
Other
Enumeration date
07/08/2021
Last updated
07/13/2021
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