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Organization

SC DEPARTMENT OF JUVENILE JUSTICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY HALL HANSEN MA (PSYCHOLOGIST III)
(864) 429-3610
Entity
Organization

Contact information

Practice address
1585 JONESVILLE HWY, UNION, SC 29379-9790
(864) 429-3610
Mailing address
1585 JONESVILLE HWY, UNION, SC 29379-9790
(864) 429-3610

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
11/30/2015
Last updated
03/02/2017
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