Individual
ANDREA HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
60 N BROADWAY ST, BLACKFOOT, ID 83221-2706
(208) 782-3434
Mailing address
60 N BROADWAY ST, BLACKFOOT, ID 83221-2706
(208) 782-3434
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LMSW-41103
ID
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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