Provider Information for 1356855431
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Mrs. JENNIFER LYNN HAMILTON LISW-S, LCSW
Sex: Female
NPI: 1356855431
Last Updated: 2020-12-01
Certification Date: 2020-12-01
Certification Date: 2020-12-01
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1356855431 | ||||||||||||
| Enumeration Date | 2017-11-28 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 878 CLUBTRAIL DR APT C FLORENCE, KY 41042-2672 United States Phone: 859-391-7272 | Fax: | ||||||||||||
| Primary Practice Address | 75 CAVALIER BLVD FLORENCE, KY 41042-3950 United States Phone: 859-594-4510 | Fax: | ||||||||||||
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