| Connie M Hutchinson Lmsw Acsw Llc | |
|
2265 Livernois Rd Ste 260 Troy MI 48083-1633 | |
| (248) 990-6959 | |
| Not Available |
| Full Name | Connie M Hutchinson Lmsw Acsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2265 Livernois Rd, Troy, Michigan |
| Authorized Official Name and Position | Connie Hutchinson (OWNER) |
| Authorized Official Contact | 2489906959 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connie M Hutchinson Lmsw Acsw Llc 2265 Livernois Rd Ste 260 Troy MI 48083-1633 Ph: (248) 990-6959 | Connie M Hutchinson Lmsw Acsw Llc 2265 Livernois Rd Ste 260 Troy MI 48083-1633 Ph: (248) 990-6959 |
| NPI Number | 1225456635 |
|---|---|
| Provider Enumeration Date | 04/02/2014 |
| Last Update Date | 11/06/2015 |
| Medicare PECOS PAC ID | 8022328939 |
|---|---|
| Medicare Enrollment ID | O20151106001077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225456635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801019442 (Michigan) | Primary |
| Provider Name | Connie Marie Hutchinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336164334 PECOS PAC ID: 4587662895 Enrollment ID: I20061211000526 |
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