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NPI Code Detail

MEDICARE: LAURIE MOUSSEAU

MEDICARE: LAURIE MOUSSEAU
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 Worker6801099661MI

General Provider Information

NPI Number : 1497292320
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURIE MOUSSEAU
Provider Business Mailing Address
First Line : PO BOX 427
Second Line :
City : HILLMAN
State : MI
Zip : 49746-0427
Country : US
Telephone Number : 989-742-4583
Fax Number :
Provider Business Practice Location Address
First Line : 205 S BRADLEY HWY
Second Line :
City : ROGERS CITY
State : MI
Zip : 49779-2137
Country : US
Telephone Number : 989-734-2052
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2017
Last Update Date : 02/09/2026

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Directions to “ LAURIE MOUSSEAU ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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