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NPI Code Detail

MEDICARE: JESSICA LASHER LMSW

MEDICARE: JESSICA LASHER LMSW
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 Worker6801085795MI

General Provider Information

NPI Number : 1083109359
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA LASHER LMSW
Provider Business Mailing Address
First Line : 43434 HILLSBORO DR
Second Line :
City : CLINTON TOWNSHIP
State : MI
Zip : 48038-5523
Country : US
Telephone Number : 734-383-0290
Fax Number :
Provider Business Practice Location Address
First Line : 570 KIRTS BLVD STE 231
Second Line :
City : TROY
State : MI
Zip : 48084-4156
Country : US
Telephone Number : 248-928-0111
Fax Number : 248-928-0122
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2018
Last Update Date : 06/28/2018

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Directions to “ JESSICA LASHER LMSW” Practice Location

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