Provider Information for 1013442060
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JUPIE HAMILTON LCSW
Sex: Female
NPI: 1013442060
Last Updated: 2017-04-27
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1013442060 | ||||||||
| Enumeration Date | 2017-04-27 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 602ND STREET BLDG 4066 CAFBHS FT WAINWRIGHT, AK 99703-7400 United States Phone: 907-361-6059 | Fax:907-361-6151 | ||||||||
| Primary Practice Address | 1060 GAFFNEY RD STOP 7420 MEDDAC-AK FT WAINWRIGHT, AK 99703-5007 United States Phone: 907-361-6059 | Fax:907-361-6151 | ||||||||
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