Individual
AUTUMN MARIE HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
204 MEADOWS DR, GRAYLING, MI 49738-2013
(989) 366-1105
Mailing address
204 MEADOWS DR, GRAYLING, MI 49738-2013
(989) 366-1105
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802087516
MI
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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