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Organization
JUDITH A. HANCOX, INC.
Active
Organization
JUDITH A. HANCOX, INC.
Active
Other names
Shiome Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDITH A. HANCOX MSW, LCSW, BCETS (DIRECTOR)
(973) 585-4660
Entity
Organization
Contact information
Practice address
9 KRISTEN DR, SUCCASUNNA, NJ 07876-1265
(973) 585-4660
(973) 585-4660
Mailing address
9 KRISTEN DR, SUCCASUNNA, NJ 07876-1265
(973) 585-4660
(973) 585-4660
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021735
MEDICARE PIN
NJ
01
—
116634
MEDICARE: PTAN
NJ
01
—
1740404599
MEDICARE INDIVIDUAL ID NUMBER
NJ
01
—
1942492905
PHYSICIAN/SUPPLIER GROUP NPI NUMBER
NJ
Enumeration date
08/14/2007
Last updated
07/07/2014
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