Individual
LAURIE MARIE HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COMS
Contact information
Practice address
575 LAKEWOOD DR, LEAKESVILLE, MS 39451-3166
(601) 394-2420
(601) 440-2129
Mailing address
575 LAKEWOOD DR, LEAKESVILLE, MS 39451-3166
(601) 394-2420
(601) 440-2129
Taxonomy
Speciality
Code
Description
License number
State
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
Primary
22205
MS
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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