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1417056599
MIRIAM HANCOCK
AUGUSTA, GA
NPI
1417056599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: GA PSY003227)
Enumeration Date
2006-09-22
Last Update Date
2012-03-13
Business Address
DR. MIRIAM HANCOCK PH.D.
1 FREEDOM WAY MENTAL HEALTH SERVICE LINE
AUGUSTA, GA 30904-6258
Phone number: 706-733-0188
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Mailing Address
DR. MIRIAM HANCOCK PH.D.
130 FIORD DR
NORTH AUGUSTA, SC 29841-6043
Phone number: 706-733-0188
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