Individual
SIDNETRICE HANKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1946 BROOKSTONE WAY, 107, ROCK HILL, SC 29732-2679
(704) 281-0416
Mailing address
1946 BROOKSTONE WAY, 107, ROCK HILL, SC 29732-2679
(704) 281-0416
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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