Individual
ELIZABETH JANE HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 E 5TH NORTH ST, SUMMERVILLE, SC 29483-6822
(843) 460-2605
Mailing address
949 E ESTATES BLVD APT 306, CHARLESTON, SC 29414-5669
(803) 622-3991
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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