Individual
RICHARD D HAMMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
14885 EAGLE DR, CALDWELL, ID 83607-7681
(208) 899-0272
Mailing address
14885 EAGLE DR, CALDWELL, ID 83607-7681
(208) 899-0272
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW-27183
ID
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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