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NPI Code Detail

MEDICARE: MR. JOHN MOORE HUTCHISON LMSW

MEDICARE: MR. JOHN MOORE HUTCHISON 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 Worker6801085365MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518035146
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN MOORE HUTCHISON LMSW
Provider Business Mailing Address
First Line : 2351 12 MILE RD
Second Line :
City : BERKLEY
State : MI
Zip : 48072-1826
Country : US
Telephone Number : 248-544-4006
Fax Number : 248-544-4113
Provider Business Practice Location Address
First Line : 114 ORCHARD LAKE RD
Second Line :
City : PONTIAC
State : MI
Zip : 48341-2244
Country : US
Telephone Number : 248-858-7766
Fax Number : 248-858-7201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2006
Last Update Date : 07/08/2007

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Directions to “ MR. JOHN MOORE HUTCHISON LMSW” Practice Location

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