Individual
MRS. JESSICA RENEA ADCOCK HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7701 S ZERO ST, FORT SMITH, AR 72903-6644
(479) 478-4660
(479) 478-5670
Mailing address
PO BOX 11495, FORT SMITH, AR 72917-1495
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A1012134
AR
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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