Individual
MS. ELLEN HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L. C. S. W.
Contact information
Practice address
5877 NORTH SALT ROAD, MONTICELLO, FL 32344
(850) 997-7275
Mailing address
PO BOX 488, MONTICELLO, FL 32345-0488
(850) 997-7275
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW2529
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
762837400
—
FL
Enumeration date
10/03/2007
Last updated
11/08/2013
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