Individual
LATRESSA GAIL HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHPP
Contact information
Practice address
100 S CHEROKEE ST, MORRILTON, AR 72110-2656
(501) 354-4589
(501) 354-5410
Mailing address
PO BOX 679, MORRILTON, AR 72110-0679
(501) 354-4589
(501) 354-5410
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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