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NPI Code Detail

MEDICARE: ELIZABETH MCGARVEY HANVEY MSW, LMSW

MEDICARE: ELIZABETH MCGARVEY HANVEY MSW, 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 Worker6801066669MI

General Provider Information

NPI Number : 1679675201
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH MCGARVEY HANVEY MSW, LMSW
Provider Business Mailing Address
First Line : 29750 HARPER AVE
Second Line :
City : SAINT CLAIR SHORES
State : MI
Zip : 48082-2607
Country : US
Telephone Number : 586-777-3200
Fax Number :
Provider Business Practice Location Address
First Line : 43740 N GROESBECK HWY
Second Line :
City : CLINTON TOWNSHIP
State : MI
Zip : 48036-1139
Country : US
Telephone Number : 585-469-7629
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2006
Last Update Date : 03/02/2021

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