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NPI Code Detail

MEDICARE: KATHRYN DIANE HILL LMSW

MEDICARE: KATHRYN DIANE HILL 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 Worker6801114687MI
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1336612746
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN DIANE HILL LMSW
Provider Business Mailing Address
First Line : 6549 TOWN CENTER DR STE A
Second Line :
City : CLARKSTON
State : MI
Zip : 48346-4824
Country : US
Telephone Number : 800-395-3223
Fax Number : 248-620-6405
Provider Business Practice Location Address
First Line : 8225 MOORSBRIDGE RD
Second Line :
City : PORTAGE
State : MI
Zip : 49024-7845
Country : US
Telephone Number : 800-395-3223
Fax Number : 248-620-6405
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2019
Last Update Date : 12/15/2023

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Directions to “ KATHRYN DIANE HILL LMSW” Practice Location

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