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Individual

MR. BOBBY HAMLET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
1680 NAVE RD SE, MASSILLON, OH 44646-9604
(330) 455-0374
(330) 453-6716
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 453-6716

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S1502630
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0158122
OH
Enumeration date
06/29/2018
Last updated
08/21/2019
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