Individual
MRS. JENNIFER JO HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
1140 EMPIRE CENTRAL DR STE 260, DALLAS, TX 75247-4322
(214) 432-8296
(214) 203-0803
Mailing address
1140 EMPIRE CENTRAL DR STE 260, DALLAS, TX 75247-4322
(214) 432-8296
(214) 203-0803
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
65627
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311513101
—
TX
Enumeration date
06/19/2018
Last updated
06/19/2018
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