SUSAN HANSEN

PONDERAY, ID
NPI1801256227
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2016-02-26
Last Update Date2016-02-26
Business Address
-- SUSAN HANSEN M.ED.
207 LARKSPUR ST
PONDERAY, ID 83852-5011
Phone number: 208-255-3304
Mailing Address
-- SUSAN HANSEN M.ED.
207 LARKSPUR ST
PONDERAY, ID 83852-5011
Phone number: 208-255-3304
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