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1104493238
ABIGAIL JANE HANSEN
ROCKFORD, IL
NPI
1104493238
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146015720)
Enumeration Date
2021-06-08
Last Update Date
2021-06-08
Business Address
ABIGAIL JANE HANSEN M.S., CCC-SLP/L
2325 OHIO PKWY
ROCKFORD, IL 61108-7514
Phone number: 815-229-2840
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Mailing Address
ABIGAIL JANE HANSEN M.S., CCC-SLP/L
600 ARDMORE TER
LIBERTYVILLE, IL 60048-3318
Phone number: 847-997-4568
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