MEDICARE: NANCI HESTER 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
1	1041C0700X	Clinical Social Worker	6801086829	MI

General Provider Information

NPI Number	:	1750518932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCI HESTER LMSW

Provider Business Mailing Address
First Line	:	5600 W MAPLE RD STE C308
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-3700
Country	:	US
Telephone Number	:	248-310-5097
Fax Number	:	248-538-1558

Provider Business Practice Location Address
First Line	:	5600 W MAPLE RD STE C308
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-3700
Country	:	US
Telephone Number	:	248-310-5097
Fax Number	:	248-538-1558

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2009
Last Update Date	:	11/13/2019

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Directions to “ NANCI HESTER LMSW” Practice Location

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