MEDICARE: MS. ABBEY LYNN HAND L.C.S.W, C.A.P

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	CAP 2420	FL
2	1041C0700X	Clinical Social Worker	SW 6529	FL

General Provider Information

NPI Number	:	1780741876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ABBEY LYNN HAND L.C.S.W, C.A.P

Provider Business Mailing Address
First Line	:	2926 N STATE ROAD 7
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33313-1912
Country	:	US
Telephone Number	:	954-375-6208
Fax Number	:

Provider Business Practice Location Address
First Line	:	2926 N STATE ROAD 7
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33313-1912
Country	:	US
Telephone Number	:	954-975-6208
Fax Number	:

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

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	05/05/2016

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