Individual
MR. MICHAEL HAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
867 MILL COVE DR, LAWRENCEVILLE, GA 30045-6591
(808) 895-1584
Mailing address
867 MILL COVE DR, LAWRENCEVILLE, GA 30045-6591
(808) 895-1584
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
076639
NY
1041C0700X
Clinical Social Worker
3200
HI
1041C0700X
Clinical Social Worker
CSW008182
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03165395
—
NY
Enumeration date
10/24/2006
Last updated
04/11/2023
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