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Organization

JEROME HANLEY

Active
Other names
Jerome Hanley
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEROME H HANLEY PH.D (PSYCHOLOGIST)
(803) 741-5598
Entity
Organization

Contact information

Practice address
1919 GADSDEN ST, COLUMBIA, SC 29201-2346
(803) 779-5356
Mailing address
PO BOX 40105, COLUMBIA, SC 29240-0105
(803) 741-5598

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
280
SC

Other

Enumeration date
06/10/2008
Last updated
06/10/2008
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