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1649667197
MARY ELLEN HANSEN
MILWAUKEE, WI
NPI
1649667197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WI 3974)
Enumeration Date
2015-04-22
Last Update Date
2015-04-22
Business Address
-- MARY ELLEN HANSEN
2301 N LAKE DR
MILWAUKEE, WI 53211-4508
Phone number: 414-585-1067
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Mailing Address
-- MARY ELLEN HANSEN
2301 N LAKE DR
MILWAUKEE, WI 53211-4508
Phone number:
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