Individual
MRS. JUANITA HANNON HAMLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6100 MILLER AVE, GARY, IN 46403-2469
(219) 427-0196
Mailing address
5788 TAFT PL, MERRILLVILLE, IN 46410-2253
(219) 730-4147
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22001779A
IN
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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