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NPI Code Detail

MEDICARE: HALEY DROLSHAGEN

MEDICARE: HALEY DROLSHAGEN
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 Worker

General Provider Information

NPI Number : 1811774607
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALEY DROLSHAGEN
Provider Business Mailing Address
First Line : 653 E MAIN ST APT A
Second Line :
City : ROCK HILL
State : SC
Zip : 29730-6172
Country : US
Telephone Number : 864-710-7736
Fax Number :
Provider Business Practice Location Address
First Line : 7940 WILLIAMS POND LN STE 150
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-8409
Country : US
Telephone Number : 704-237-4240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2023
Last Update Date : 10/09/2024

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Directions to “ HALEY DROLSHAGEN ” Practice Location

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