Individual
BRENDA LEE HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
964 N MARKET ST, LISBON, OH 44432-9363
(330) 424-1468
(330) 424-7876
Mailing address
PO BOX 464, LISBON, OH 44432-0464
(330) 424-1468
(330) 424-7876
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CDCA.188837
OH
175T00000X
Peer Specialist
—
—
Other
Enumeration date
02/05/2024
Last updated
09/04/2024
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