Individual
MS. LAKISHA HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6510 DE COSTA AVE, APT 2, ARVERNE, NY 11692-1362
(646) 258-2967
Mailing address
6510 DE COSTA AVE, APT 2, ARVERNE, NY 11692-1362
(646) 258-2967
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
089433
NY
253Z00000X
In Home Supportive Care Agency
Primary
089433
NY
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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