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NPI Code Detail

MEDICARE: MS. GAYLE J HATFIELD LMSW

MEDICARE: MS. GAYLE J HATFIELD 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 Worker6801081853MI

General Provider Information

NPI Number : 1942416821
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. GAYLE J HATFIELD LMSW
Provider Business Mailing Address
First Line : 20497 E 14 MILE RD
Second Line :
City : CLINTON TOWNSHIP
State : MI
Zip : 48035-4003
Country : US
Telephone Number : 313-285-6074
Fax Number :
Provider Business Practice Location Address
First Line : 8600 WOODWARD AVE
Second Line :
City : DETROIT
State : MI
Zip : 48202-2142
Country : US
Telephone Number : 313-875-7601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 02/16/2024

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