Individual
MS. PATRICIA DIANE HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
611 LINCOLNWAY E, SOUTH BEND, IN 46601-3220
(574) 232-2255
(574) 232-8968
Mailing address
611 LINCOLNWAY E, SOUTH BEND, IN 46601-3220
(574) 232-2255
(574) 232-8968
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004712A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000485595
UNICARE
IN
Enumeration date
01/03/2007
Last updated
02/19/2008
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