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NPI Code Detail

MEDICARE: HANNAH VANHOORNE

MEDICARE: HANNAH VANHOORNE
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 Worker

General Provider Information

NPI Number : 1154920999
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH VANHOORNE
Provider Business Mailing Address
First Line : 5943 STADIUM DR
Second Line :
City : KALAMAZOO
State : MI
Zip : 49009-3016
Country : US
Telephone Number : 269-389-9102
Fax Number :
Provider Business Practice Location Address
First Line : 4690 FULTON ST E STE 102
Second Line :
City : ADA
State : MI
Zip : 49301-8454
Country : US
Telephone Number : 810-225-3417
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2020
Last Update Date : 05/14/2023

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Directions to “ HANNAH VANHOORNE ” Practice Location

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