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NPI Code Detail

MEDICARE: MISS RISSA JOY HASINA LMSW

MEDICARE:  MISS RISSA JOY HASINA  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 Worker6801109470MI

General Provider Information

NPI Number : 1851047229
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS RISSA JOY HASINA LMSW
Provider Business Mailing Address
First Line : 328 1/2 COLLEGE AVE
Second Line :
City : HOLLAND
State : MI
Zip : 49423-3644
Country : US
Telephone Number : 269-215-9397
Fax Number :
Provider Business Practice Location Address
First Line : 12330 JAMES ST STE A80
Second Line :
City : HOLLAND
State : MI
Zip : 49424-8581
Country : US
Telephone Number : 616-757-7572
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2022
Last Update Date : 05/20/2026

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Directions to “ MISS RISSA JOY HASINA LMSW” Practice Location

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