Individual
HAMMOND FULLER BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
67 WATER ST, SUITE 205, LACONIA, NH 03246-3300
(603) 528-6086
Mailing address
67 WATER ST, SUITE 205, LACONIA, NH 03246-3300
(603) 528-6086
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
487
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1039374
CIGNA BEHAVIORAL HEALTH
—
01
—
1406027Y0NH01
ANTHEM BC/BS
NH
05
—
30420183
—
NH
Enumeration date
08/30/2006
Last updated
05/07/2008
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