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NPI Code Detail

MEDICARE: PAM HYLES LMSW, PLLC

MEDICARE: PAM HYLES LMSW, PLLC
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 : 1275226052
Entity Type Code : Organization
Provider Name (Legal Business Name) : PAM HYLES LMSW, PLLC
Provider Business Mailing Address
First Line : 3701 BEECHER RD
Second Line :
City : FLINT
State : MI
Zip : 48503-4974
Country : US
Telephone Number : 248-390-9693
Fax Number :
Provider Business Practice Location Address
First Line : 3701 BEECHER RD
Second Line :
City : FLINT
State : MI
Zip : 48503-4974
Country : US
Telephone Number : 248-390-9693
Fax Number :
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : PAMELA HYLES
Credential : LMSW
Telephone Number : 248-390-9693
Provider Enumeration Date : 05/30/2023
Last Update Date : 05/30/2023

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