Individual
MRS. LISA RENEE HAMIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
443 S WOOD ST, NASHVILLE, IL 62263-1358
(618) 593-6631
Mailing address
443 S WOOD ST, NASHVILLE, IL 62263-1358
(618) 593-6631
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/03/2017
Last updated
02/06/2018
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