Individual
BETTE S HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9509 US HIGHWAY 42, STE. 201A, PROSPECT, KY 40059-9290
(502) 329-0484
(502) 228-6917
Mailing address
9509 US HIGHWAY 42, STE. 201A, PROSPECT, KY 40059-9290
(502) 329-0484
(502) 228-6916
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2043
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11507484
CAQH
—
05
—
30605018
—
KY
Enumeration date
05/27/2006
Last updated
07/08/2007
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