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Individual

DR. ANYALIESE DOMINIQUE HANCOCK-SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
13900 TECH CITY CIR STE 408, ALACHUA, FL 32615-6090
(386) 518-6006
(386) 518-6024
Mailing address
PO BOX 305, ALACHUA, FL 32616-0305
(386) 518-6006
(386) 518-6024

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PY 9269
FL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY9269
FL

Other

Enumeration date
04/03/2015
Last updated
08/02/2021
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