Provider Demographics
NPI:1144514977
Name:HAMILTON, HARRY ALEXANDER III (LCSW)
Entity type:Individual
Prefix:MR
First Name:HARRY
Middle Name:ALEXANDER
Last Name:HAMILTON
Suffix:III
Gender:M
Credentials:LCSW
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Mailing Address - Street 1:10500 WAKEMAN DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-8012
Mailing Address - Country:US
Mailing Address - Phone:540-898-7125
Mailing Address - Fax:540-898-1146
Practice Address - Street 1:10500 WAKEMAN DR
Practice Address - Street 2:SUITE 200
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-8012
Practice Address - Country:US
Practice Address - Phone:540-898-7125
Practice Address - Fax:540-898-1146
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-09
Last Update Date:2011-06-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA09040038251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical