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Individual

HANNAH DRIVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
940 E 8TH ST, TRAVERSE CITY, MI 49686-2893
(231) 922-4810
(231) 929-0416
Mailing address
415 CASS ST, SUITE 2A & 2D, TRAVERSE CITY, MI 49684-2589
(231) 922-4810
(231) 943-2590

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
172A00000X
Driver
175T00000X
Peer Specialist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1184087272
MI
05
1629431713
MI
Enumeration date
04/21/2016
Last updated
04/21/2016
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