Individual
SOFIA HAMELINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1500 GENESEE ST, UTICA, NY 13502-5104
(315) 735-9501
Mailing address
1500 GENESEE ST, UTICA, NY 13502-5104
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215098207
—
NY
Enumeration date
02/11/2021
Last updated
02/12/2021
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