Individual
MICHELLE HARTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 TWINING ST BLDG 760, MAXWELL AFB, AL 36112-6027
(334) 953-8607
Mailing address
130 LETOURNEAU CIRCLE BLDG 90311, HURLBURT FIELD, FL 32544
(850) 881-4237
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890134019
VT
1041C0700X
Clinical Social Worker
—
VT
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/03/2014
Last updated
01/05/2024
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