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NPI Code Detail

MEDICARE: HEATHER A HOONHOUT BS, LBSW

MEDICARE: HEATHER A HOONHOUT BS, LBSW
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
1104100000XSocial Worker641372MI

General Provider Information

NPI Number : 1568598977
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER A HOONHOUT BS, LBSW
Provider Business Mailing Address
First Line : 22550 HALL RD
Second Line :
City : CLINTON TOWNSHIP
State : MI
Zip : 48036-1189
Country : US
Telephone Number : 586-764-2165
Fax Number : 586-469-7958
Provider Business Practice Location Address
First Line : 22550 HALL RD
Second Line :
City : CLINTON TOWNSHIP
State : MI
Zip : 48036-1189
Country : US
Telephone Number : 586-764-2165
Fax Number : 586-469-7958
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 05/09/2016

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