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NPI Code Detail

MEDICARE: MS. ERIN LEIGH HAGER LLMSW

MEDICARE: MS. ERIN LEIGH HAGER LLMSW
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 Worker6801094408MI

General Provider Information

NPI Number : 1487902508
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ERIN LEIGH HAGER LLMSW
Provider Business Mailing Address
First Line : 1355 COMPTON CT APT 203
Second Line :
City : EAST LANSING
State : MI
Zip : 48823-2363
Country : US
Telephone Number : 517-775-9616
Fax Number :
Provider Business Practice Location Address
First Line : 4902 S CEDAR ST
Second Line :
City : LANSING
State : MI
Zip : 48910-5474
Country : US
Telephone Number : 517-394-7867
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2012
Last Update Date : 08/21/2012

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