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Individual

ROSE A HATCHETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, OTR, LPC

Contact information

Practice address
8266 CLINTON MACON RD, CLINTON, MI 49236-9532
(517) 423-1915
Mailing address
8266 CLINTON MACON RD, CLINTON, MI 49236-9532
(517) 423-1915

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2674691
MI
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
L705804
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OD600040
BCBS
MI
Enumeration date
07/11/2007
Last updated
06/27/2011
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