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Individual

MARTHA LEE HAMM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2400 S. 48TH STREET, SPRINGDALE, AR 72762
(479) 725-5224
(479) 750-8967
Mailing address
2400 S. 48TH STREET, SPRINGDALE, AR 72762
(479) 750-2020
(479) 750-8967

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1650-C
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5X623
BLUE SHIELD PROVIDER #
AR
Enumeration date
06/03/2006
Last updated
05/27/2011
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