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NPI Code Detail

MEDICARE: ELIZABETH HANSON SOUTH LCSW

MEDICARE:   ELIZABETH HANSON SOUTH  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 WorkerCSW006592GA

General Provider Information

NPI Number : 1881259968
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH HANSON SOUTH LCSW
Provider Business Mailing Address
First Line : 4800 N SCOTTSDALE RD STE 2500
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-7630
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 STONEFOREST DR STE 230
Second Line :
City : WOODSTOCK
State : GA
Zip : 30189-4903
Country : US
Telephone Number : 470-552-8470
Fax Number : 470-437-3924
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2019
Last Update Date : 01/08/2026

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Directions to “ ELIZABETH HANSON SOUTH LCSW” Practice Location

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