MEDICARE: JULIA LYNN HANKERSON 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
1	1041C0700X	Clinical Social Worker		NJ

General Provider Information

NPI Number	:	1578627808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA LYNN HANKERSON LCSW

Provider Business Mailing Address
First Line	:	534 WASHINGTON AVE
Second Line	:
City	:	WOODBINE
State	:	NJ
Zip	:	08270-2025
Country	:	US
Telephone Number	:	609-861-2400
Fax Number	:	609-861-2440

Provider Business Practice Location Address
First Line	:	534 WASHINGTON AVE
Second Line	:
City	:	WOODBINE
State	:	NJ
Zip	:	08270-2025
Country	:	US
Telephone Number	:	609-861-2400
Fax Number	:	609-861-2440

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2006
Last Update Date	:	07/08/2007

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