Individual
JONI MARIE HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
6750 MISSION RD, EVERSON, WA 98247-9749
(360) 966-7704
Mailing address
2308 CEDAR CT, MOUNT VERNON, WA 98273-3617
(360) 540-3483
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CP 00003178
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37023000
—
WA
Enumeration date
06/06/2014
Last updated
06/06/2014
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