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NPI Code Detail

MEDICARE: MS. ALISON ADAMS HARTMAN LMSW, ACSW

MEDICARE: MS. ALISON ADAMS HARTMAN LMSW, ACSW
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 Worker6801078947MI

General Provider Information

NPI Number : 1396881785
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALISON ADAMS HARTMAN LMSW, ACSW
Provider Business Mailing Address
First Line : PO BOX 1646
Second Line :
City : MIDLAND
State : MI
Zip : 48641-1646
Country : US
Telephone Number : 989-274-9890
Fax Number : 989-892-4761
Provider Business Practice Location Address
First Line : 1217 S EUCLID AVE
Second Line :
City : BAY CITY
State : MI
Zip : 48706-3311
Country : US
Telephone Number : 989-667-9661
Fax Number : 989-667-9680
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2007
Last Update Date : 07/08/2007

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