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Individual
BRIAN HACKMAN
Active
Individual
BRIAN HACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LSW
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC002446
PA
104100000X
Social Worker
Primary
SW131414
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CW019905
STATE LICENSE
PA
Enumeration date
12/22/2015
Last updated
02/08/2023
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