Mary Marie Hansen, MA, CCC-ALP
NPI #1730500950 in New London, Wisconsin
Provider Information
- NPI Number
- 1730500950
- Entity Type
- Individual
- Name
- Mary Marie Hansen, MA, CCC-ALP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MA, CCC-ALP
- Enumeration Date
- Dec 16, 2013
- Last Updated
- Dec 16, 2013
Practice Location
- Address
- 107 E BECKERT RD
- City
- New London
- State
- Wisconsin
- ZIP Code
- 54961-2509
- Phone
- (920) 982-5354
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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