Individual
DEBRA J HAMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14873 S. HIGHWAY 188, GLOBE, AZ 85501
(928) 425-4516
Mailing address
PO BOX 1561, CLAYPOOL, AZ 85532-1561
(928) 425-4516
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069906
AHCCCS
AZ
Enumeration date
10/17/2008
Last updated
10/17/2008
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