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NPI Code Detail

MEDICARE: CONNIE ASHER LMSW

MEDICARE:   CONNIE  ASHER  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
11041C0700XClinical Social Worker6801092217MI

General Provider Information

NPI Number : 1114344009
Entity Type Code : Individual
Provider Name (Legal Business Name) : CONNIE ASHER LMSW
Provider Business Mailing Address
First Line : 100 N POND DR
Second Line : SUITE A
City : WALLED LAKE
State : MI
Zip : 48390-3079
Country : US
Telephone Number : 248-420-7470
Fax Number :
Provider Business Practice Location Address
First Line : 100 N POND DR
Second Line : SUITE A
City : WALLED LAKE
State : MI
Zip : 48390-3079
Country : US
Telephone Number : 248-420-7470
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2014
Last Update Date : 03/28/2014

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Directions to “ CONNIE ASHER LMSW” Practice Location

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