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NPI Code Detail

MEDICARE: HAYLEY RENEE MINGER-MARLOW M.S.W.

MEDICARE: HAYLEY RENEE MINGER-MARLOW M.S.W.
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
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1457028813
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAYLEY RENEE MINGER-MARLOW M.S.W.
Provider Business Mailing Address
First Line : 20013 BLACKBURN ST
Second Line :
City : SAINT CLAIR SHORES
State : MI
Zip : 48080-1051
Country : US
Telephone Number : 313-418-8928
Fax Number : 586-279-3886
Provider Business Practice Location Address
First Line : 23100 JEFFERSON AVE
Second Line :
City : SAINT CLAIR SHORES
State : MI
Zip : 48080-2756
Country : US
Telephone Number : 586-335-2006
Fax Number : 586-279-3886
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2021
Last Update Date : 12/21/2025

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