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Harvey Darnell Hamm

Social Worker, Clinical in Largo, MD. Organization (NPI-2).

NPI number1407192016
StatusActive
Last updated in NPPESFeb 20, 2013

Details

NPI
1407192016
Entity type
Organization (NPI-2)
Legal business name
Harvey Darnell Hamm
Organization subpart
No
Enumeration date
Dec 31, 2012
Last updated
Feb 20, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical13247MDYes
1041C0700X Social Worker, ClinicalLC50078370DC

Practice location

4900 Arena Dr.
Suite 460-E
Largo, MD 20774-8949

Phone 240-601-9963

Mailing address

14706 Hawley Ln
Upper Marlboro, MD 20774-8949

Phone 240-601-9963

Authorized official

Harvey Darnell Hamm
Clinical Social Worker
2406019963

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