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NPI Code Detail

MEDICARE: MRS. REBECCA DALE HAMLIN L.C.S.W.

MEDICARE: MRS. REBECCA DALE HAMLIN L.C.S.W.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker
21041C0700XClinical Social WorkerIC-697NV
31041C0700XClinical Social Worker6668-CNV

General Provider Information

NPI Number : 1447497417
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. REBECCA DALE HAMLIN L.C.S.W.
Provider Business Mailing Address
First Line : 1580 N KOLB RD STE 100
Second Line :
City : TUCSON
State : AZ
Zip : 85715-4932
Country : US
Telephone Number : 520-214-8650
Fax Number :
Provider Business Practice Location Address
First Line : 1580 N KOLB RD STE 100
Second Line :
City : TUCSON
State : AZ
Zip : 85715-4932
Country : US
Telephone Number : 520-214-8650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2009
Last Update Date : 07/10/2025

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