Provider Information for 1912179284
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JUDITH L HAMILTON MSW
Sex: Female
NPI: 1912179284
Last Updated: 2019-01-22
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1912179284 | ||||||||||||
| Enumeration Date | 2008-03-27 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 596 KERSHAW DR NORTH AUGUSTA, SC 29841-2734 United States Phone: 803-917-3558 | Fax: | ||||||||||||
| Primary Practice Address | 596 KERSHAW DR NORTH AUGUSTA, SC 29841-2734 United States Phone: 803-917-3558 | Fax: | ||||||||||||
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