Individual
MR. JACK P HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 YALE BLVD SE STE F, ALBUQUERQUE, NM 87106-4354
(505) 272-7033
Mailing address
2301 YALE BLVD SE STE F, ALBUQUERQUE, NM 87106-4354
(505) 272-7033
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C-10705
NM
Other
Enumeration date
09/18/2020
Last updated
01/21/2025
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