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Individual

VICTORIA HAMMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2691 S 2000 W, REXBURG, ID 83440-4049
(208) 701-9616
(208) 906-1047
Mailing address
PO BOX 64, SUGAR CITY, ID 83448-0064

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-44044
ID

Other

Enumeration date
08/28/2023
Last updated
08/28/2023
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