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Individual
TAMARA K HAMILTON
Active
Individual
TAMARA K HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004896A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100073590
—
IN
Enumeration date
07/12/2010
Last updated
05/31/2011
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