Individual
MARK HAGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSW
Contact information
Practice address
10 PETERBORO ST, DETROIT, MI 48201-2722
(313) 309-9059
Mailing address
10 PETERBORO ST, DETROIT, MI 48201-2722
(313) 309-9059
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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