Individual
ALLISON MARIE HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A
Contact information
Practice address
3675 GEORGIA LN, AMMON, ID 83406-7809
(307) 747-4477
Mailing address
3675 GEORGIA LN, AMMON, ID 83406-7809
(307) 747-4477
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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