Individual
KANDICE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5927 CROW RD, CHEYENNE, WY 82009-4168
(970) 573-1230
Mailing address
5927 CROW RD, CHEYENNE, WY 82009-4168
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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