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Individual

BRIAN HACKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, LSW

Contact information

Practice address
239 S BUTLER RD, LEBANON, PA 17042-8939
(717) 273-8871
(717) 270-2452
Mailing address
785 5TH AVE STE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 709-6529

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC002446
PA
104100000X
Social Worker
Primary
SW131414
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CW019905
STATE LICENSE
PA
Enumeration date
12/22/2015
Last updated
02/08/2023
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