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Individual

MICHAEL SCOTT HANCOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
(801) 373-0639
Mailing address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
(801) 373-0639

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
12256128-3501
UT
1041C0700X
Clinical Social Worker
Primary
12256128-3501
UT
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
08/02/2018
Last updated
04/26/2023
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