Individual
KIESSA D HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4330 W 13TH AVE, GARY, IN 46404-1614
(219) 552-8336
Mailing address
2900 COUNTY LINE RD, LAKE STATION, IN 46405-2745
(773) 209-3221
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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