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Individual
STAISHA DENISE HAMILTON
Active
Individual
STAISHA DENISE HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWP, PLCAS
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P006402
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P006402
PROVISIONAL LICENCED CLINICAL SOCIAL WORKER
NC
Enumeration date
05/02/2012
Last updated
05/02/2012
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