Individual
MISS GWEN HAMMONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2883 DEEP BRANCH RD, LUMBERTON, NC 28360-4904
(910) 608-2311
Mailing address
2883 DEEP BRANCH RD, LUMBERTON, NC 28360-4904
(910) 608-2311
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3053
NC
101Y00000X
Counselor
54834
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6104569
—
NC
Enumeration date
09/10/2010
Last updated
11/16/2010
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