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NPI Code Detail

MEDICARE: SARAH M HANCHETT LCSW

MEDICARE:   SARAH M HANCHETT  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCSW-12704AZ

General Provider Information

NPI Number : 1376869289
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH M HANCHETT LCSW
Provider Business Mailing Address
First Line : 10575 N 114TH ST STE 109
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85259-4908
Country : US
Telephone Number : 480-661-1075
Fax Number : 480-223-6385
Provider Business Practice Location Address
First Line : 4414 N 19TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85015-4114
Country : US
Telephone Number : 602-285-5550
Fax Number : 602-285-5551
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2010
Last Update Date : 04/16/2010

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Directions to “ SARAH M HANCHETT LCSW” Practice Location

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