Individual
MR. JON MARK HAMLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
20 OLD VAN BUREN RD, CARIBOU, ME 04736-3430
(207) 492-1130
(207) 492-1139
Mailing address
PO BOX 92, CARIBOU, ME 04736-0092
(207) 492-1130
(207) 492-1139
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC1717
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098245
ANTHEM
ME
05
—
245790099
—
ME
Enumeration date
03/15/2007
Last updated
03/09/2013
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