Individual
TAMMY LEE HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7219 N LITCHFIELD RD, LUKE AFB, AZ 85309-1529
(623) 856-7579
(623) 856-4433
Mailing address
11901 W MCDOWELL RD LOT 28A, AVONDALE, AZ 85323-5121
(623) 856-7579
(623) 856-4433
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005778
VA
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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