Individual
MR. COLIN M HAMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
366 SCOTT AVE, GLEN ELLYN, IL 60137
(630) 384-9185
Mailing address
366 SCOTT AVE, GLEN ELLYN, IL 60137
(503) 807-7104
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.022123
IL
1041C0700X
Clinical Social Worker
149022123
IL
1041C0700X
Clinical Social Worker
L6973
OR
Other
Enumeration date
03/25/2020
Last updated
12/30/2021
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