Individual
CAROL HAMM FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2823 GLENWOOD AVE, ROCKFORD, IL 61101-3542
(815) 968-5342
Mailing address
2823 GLENWOOD AVE, ROCKFORD, IL 61101-3542
(815) 968-5342
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.004607
IL
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
02/27/2007
Last updated
08/14/2014
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