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Individual

MR. TERRANCE HAMM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LGSW

Contact information

Practice address
1 KENTON DR, CHARLESTON, WV 25311-1256
(304) 408-3292
Mailing address
208 6TH AVE, MONTGOMERY, WV 25136-2214
(304) 421-5544

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
BP00943230
WV
104100000X
Social Worker
Primary
BP00943232
WV

Other

Enumeration date
05/16/2025
Last updated
05/16/2025
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