| Sc Department Of Juvenile Justice | |
|
1585 Jonesville Hwy Union SC 29379-9790 | |
| (864) 429-3610 | |
| Not Available |
| Full Name | Sc Department Of Juvenile Justice |
|---|---|
| Speciality | Psychologist |
| Location | 1585 Jonesville Hwy, Union, South Carolina |
| Authorized Official Name and Position | Amy Hall Hansen (PSYCHOLOGIST III) |
| Authorized Official Contact | 8644293610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sc Department Of Juvenile Justice 1585 Jonesville Hwy Union SC 29379-9790 Ph: (864) 429-3610 | Sc Department Of Juvenile Justice 1585 Jonesville Hwy Union SC 29379-9790 Ph: (864) 429-3610 |
| NPI Number | 1427422583 |
|---|---|
| Provider Enumeration Date | 11/30/2015 |
| Last Update Date | 03/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427422583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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