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Individual
MR. RODGER JOHNNIE HIATT II
Active
Individual
MR. RODGER JOHNNIE HIATT II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801100002
MI
171M00000X
Case Manager/Care Coordinator
X-07916
NM
Other
Enumeration date
10/28/2012
Last updated
03/15/2017
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